Active NPI 1386863660 Individual Practitioner Female Practitioner

Kim P Nelson , LCPC

Counselor - Professional • Moline, IL

Professional Overview & Biography Verified Profile Summary

Kim Nelson, LCPC is a registered healthcare professional specializing in Counselor - Professional in Moline, IL. Practice services are available at 3812 27TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3812 27th St

Moline, IL 612656343

Telephone 3097640069

Fax 3097640171

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moline, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.1 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

32 Specialists

Practicing in Moline, IL (9683 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License IL 782002

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3812 27TH ST, MOLINE, IL 612656343 (Tel: 3097640069)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3812 27TH ST, MOLINE, IL 612656343 (Tel: 3097640069)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KIM NELSON, LCPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #782002 in IL)

🟢

Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1386863660

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2007

Last Update: July 12, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3812 27th St

Moline, IL 612656343

Phone: 3097640069

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.