KIM LYDIC LPC
NPI 1578682845
Counselor - Professional in Youngstown, OH

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
310 CHURCHILL HUBBARD RD, SUITE A, YOUNGSTOWN, OH 44505(330) 759-3040(330) 759-3070 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kim Lydic Lpc NPPES

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

KIM LYDIC LPC (NPI 1578682845) is an individual professional provider in Youngstown, Ohio, licensed in Ohio (C5528) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1578682845
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIM LYDICCredential: LPC
Location Address310 CHURCHILL HUBBARD RD, SUITE AYoungstown, OH 44505-1371
Mailing Address6105 Southern Hills CtCanfield, OH 44406-9530
Fax(330) 759-3070
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1578682845 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 OH · C5528
310 CHURCHILL HUBBARD RD, Youngstown, OH 44505

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

Kim Lydic Lpc 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 ID143663526
PECOS Enrollment IDI20260618000282
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 10

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

Counselor (Professional)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505
Counselor (Professional)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505
Counselor (Professional)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505
Counselor (Professional)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505
Social Worker (Clinical)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505
Counselor (Professional)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505
Counselor (Professional)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505
Social Worker (Clinical)
310 CHURCHILL HUBBARD RD, SUITE A
YOUNGSTOWN, OH 44505

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 Lydic's NPI number?

The NPI number for Kim Lydic is 1578682845. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kim Lydic located?

Kim Lydic practices at 310 Churchill Hubbard Rd Suite A, Youngstown, OH 44505. The listed phone number is (330) 759-3040.

What is Kim Lydic's specialty?

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

Is Kim Lydic enrolled in Medicare?

Yes. Kim Lydic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kim Lydic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.