KIM SCARDINA LCPC, NCC
NPI 1043656861
Counselor - Professional in Peoria, IL

Active since May 20, 2013PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-3958 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Scardina Lcpc, Ncc NPPES

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

KIM SCARDINA LCPC, NCC (NPI 1043656861) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.008553) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043656861
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIM SCARDINACredential: LCPC, NCC
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0002
Mailing Address624 N Shelton LnPeoria, IL 61604-4530 · (309) 264-5769
Sole ProprietorNo
Enumeration DateMay 20, 2013
NPI 1043656861 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 · 180.008553
530 NE GLEN OAK AVE, Peoria, IL 61637

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kim Scardina Lcpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Scardina's NPI number?

The NPI number for Kim Scardina is 1043656861. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Kim Scardina located?

Kim Scardina practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-3958.

What is Kim Scardina's specialty?

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

Is Kim Scardina enrolled in Medicare?

Yes. Kim Scardina is registered in the Medicare PECOS enrollment system.

What insurance does Kim Scardina accept?

Health plans from UnitedHealthcare list Kim Scardina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Scardina was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.