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

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: October 25, 2026.

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 Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Saint Francis Medical Center
2.4 mi
Family Medicine
200 E PENNSYLVANIA AVE
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 157 clinicians in this Medicare group
NPI 1306890033 (800) 589-6070
Osf Multi-Specialty Group
4.9 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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

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
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
DR. ANGELA LYNN NEESE PHD
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 691-4408
KYLE W BOERKE PSYD
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
TIMOTHY DREW
Counselor (Professional)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
DR. CHRISTINA WHITAKER PH.D., LCP
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
ANENE NNAJIEGO ACHEBE APRN,CNP
Nurse Practitioner (Psychiatric/Mental Health)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
RENAE D MILHOAN APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
SOHEE LEE
Psychologist
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373

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 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.

Where is Kara Cicciarelli located?

Kara Cicciarelli practices at 7317 N Willow Lake Ct, Peoria, IL 61614. The listed phone number is (309) 683-7373.

What is Kara Cicciarelli's specialty?

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

Is Kara Cicciarelli enrolled in Medicare?

Yes. Kara Cicciarelli 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.

Which organizations bill Medicare for Kara Cicciarelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kara Cicciarelli reassigns Medicare benefits to 2 organizations: Saint Francis Medical Center (Peoria, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Kara Cicciarelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kara Cicciarelli accept?

Health plans from Oscar Health list Kara Cicciarelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.