KEVIN SISCOE LCPC
NPI 1043632524
Counselor - Professional in Peoria, IL

Q: What is Kevin Siscoe's NPI number?

The NPI number for Kevin Siscoe is 1043632524. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Q: What is Kevin Siscoe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Siscoe was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 17, 2014PECOS EnrolledAccepts Medicare Assignment

6615 N BIG HOLLOW RD, PEORIA, IL 61615(309) 692-6622(309) 692-6952 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kevin Siscoe Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN SISCOE LCPC (NPI 1043632524) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180008974) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1043632524

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKEVIN SISCOECredential: LCPC

Location Address6615 N BIG HOLLOW RDPeoria, IL 61615-2450

Mailing Address6615 N Big Hollow RdPeoria, IL 61615-2450 · (309) 692-6622 · Fax (309) 692-6952

Phone(309) 692-6622

Fax(309) 692-6952

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 17, 2014

Last NPPES UpdateOctober 3, 2024

NPPES CertifiedOctober 3, 2024

✔ NPI 1043632524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180008974

6615 N BIG HOLLOW RD, Peoria, IL 61615

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Siscoe Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204287279

PECOS Enrollment IDI20240104001251

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

66 services16 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

16 services16 patients

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE SUE BAKER LCPC CADC

Counselor