Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Kim Antonacci-nolan's specialty?

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

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: September 20, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 23 days 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.