DR. KARA SUE CICCIARELLI PHD, NCSP, LCP
NPI 1609606565
Psychologist - Clinical in Peoria, IL

Q: What is Kara Cicciarelli's NPI number?

The NPI number for Kara Cicciarelli is 1609606565. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Q: What is Kara Cicciarelli's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kara Cicciarelli was last updated on August 6, 2024. 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.

Active since August 06, 2024PECOS EnrolledAccepts Medicare Assignment

7317 N WILLOW LAKE CT, PEORIA, IL 61614(309) 683-7373 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kara Sue Cicciarelli Phd, Ncsp, Lcp NPPES

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

DR. KARA SUE CICCIARELLI PHD, NCSP, LCP (NPI 1609606565) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (071011250) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609606565

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KARA SUE CICCIARELLICredential: PHD, NCSP, LCP

Location Address7317 N WILLOW LAKE CTPeoria, IL 61614-8227

Mailing Address7317 N Willow Lake CtPeoria, IL 61614-8227 · (309) 683-7272

Phone(309) 683-7373

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 6, 2024

NPPES CertifiedAugust 6, 2024

✔ NPI 1609606565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071011250

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

7317 N WILLOW LAKE CT, Peoria, IL 61614

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Kara Sue Cicciarelli Phd, Ncsp, Lcp 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 ID2264971191

PECOS Enrollment IDI20240823000783

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

STEVEN LEROY THORNTON MD

Internal Medicine