ARYN ALISSA PARDIECK MA, LCPC
NPI 1134470040
Counselor - Professional in Peoria, IL

Active since October 02, 2012PECOS Enrolled
2414 W PASMOSO DR APT 102, PEORIA, IL 61614(414) 344-8948 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Aug 13, 2023 (2 updates tracked since 2023).

About Aryn Alissa Pardieck Ma, Lcpc NPPES

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

ARYN ALISSA PARDIECK MA, LCPC (NPI 1134470040) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.008170) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134470040
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameARYN ALISSA PARDIECKCredential: MA, LCPC
Location Address2414 W PASMOSO DR APT 102Peoria, IL 61614-1301
Mailing AddressPo Box 9641Peoria, IL 61612-9641 · (312) 447-9369
Sole ProprietorYes
Enumeration DateOctober 2, 2012
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
NPI 1134470040 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 · 180.008170
2414 W PASMOSO DR APT 102, Peoria, IL 61614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aryn Alissa Pardieck Ma, Lcpc 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

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

Counselor (Professional)
2414 W PASMOSO DR APT 102
PEORIA, IL 61614

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 Aryn Pardieck's NPI number?

The NPI number for Aryn Pardieck is 1134470040. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Aryn Pardieck located?

Aryn Pardieck practices at 2414 W Pasmoso Dr Apt 102, Peoria, IL 61614. The listed phone number is (414) 344-8948.

What is Aryn Pardieck's specialty?

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

Is Aryn Pardieck enrolled in Medicare?

Yes. Aryn Pardieck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aryn Pardieck was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.