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KIM ANTONACCI-NOLAN
NPI 1124419569
Counselor - Mental Health in Wexford, PA

Active since February 06, 2015PECOS Enrolled
8606 LEXINGTON PL, WEXFORD, PA 15090(724) 612-7606 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kim Antonacci-nolan NPPES

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

KIM ANTONACCI-NOLAN (NPI 1124419569) is an individual mental health provider in Wexford, Pennsylvania, licensed in Pennsylvania (PC015838) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1124419569
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIM ANTONACCI-NOLAN
Location Address8606 LEXINGTON PLWexford, PA 15090-7528
Mailing Address8235 Ohio River BlvdPittsburgh, PA 15202-1454
Phone(724) 612-7606
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 6, 2015
Last NPPES UpdateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1124419569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PC015838
8606 LEXINGTON PL, Wexford, PA 15090
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Antonacci-nolan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628507183
PECOS Enrollment IDI20250128004652
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kim Antonacci-nolan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kim's Counseling
1.4 mi
Professional
30 MAPLE DR
Wexford, PA 15090
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1558107060 (724) 612-7606
East End Therapists, LLC
20 mi
Clinical
2540 MONROEVILLE BLVD
Monroeville, PA 15146
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
NPI 1245607993 (412) 206-1411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Antonacci-nolan's NPI number?

The NPI number for Kim Antonacci-nolan is 1124419569. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is Kim Antonacci-nolan located?

Kim Antonacci-nolan practices at 8606 Lexington Pl, Wexford, PA 15090. The listed phone number is (724) 612-7606.

What is Kim Antonacci-nolan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kim Antonacci-nolan enrolled in Medicare?

Yes. Kim Antonacci-nolan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kim Antonacci-nolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Antonacci-nolan reassigns Medicare benefits to 2 organizations: Kim's Counseling (Wexford, PA) and East End Therapists, LLC (Monroeville, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Antonacci-nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Antonacci-nolan was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.