MR. KEITH STUDNICKI LPC
NPI 1649671603
Counselor - Professional in Normal, IL

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment
706 OGLESBY AVE, #112, NORMAL, IL 61761(309) 585-0241 Get Directions Write a Review

NPPES record last updated: September 9, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Keith Studnicki Lpc NPPES

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

MR. KEITH STUDNICKI LPC (NPI 1649671603) is an individual professional provider in Normal, Illinois, licensed in Illinois (178007555) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1649671603
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KEITH STUDNICKICredential: LPC
Location Address706 OGLESBY AVE, #112Normal, IL 61761-4616
Mailing Address706 Oglesby Ave, #112Normal, IL 61761-4616
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 9, 2014
✔ NPI 1649671603 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 · 178007555
706 OGLESBY AVE, Normal, IL 61761

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

Mr. Keith Studnicki 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 ID6901387760
PECOS Enrollment IDI20260220000410
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 Reassignment

Medicare enrollment records show Keith Studnicki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
808 S ELDORADO RD STE 400
Bloomington, IL 61704
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 9

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

Behavior Analyst
706 OGLESBY AVE
NORMAL, IL 61761
Social Worker
706 OGLESBY AVE, SUITE 300
NORMAL, IL 61761
Behavior Analyst
706 OGLESBY AVE, #200
NORMAL, IL 61761
Occupational Therapist (Pediatrics)
706 OGLESBY AVE, UNIT 200
NORMAL, IL 61761
Counselor (Professional)
706 OGLESBY AVE, STE. 112
NORMAL, IL 61761
Social Worker (Clinical)
706 OGLESBY AVE, SUITE 300
NORMAL, IL 61761
Occupational Therapy Assistant
706 OGLESBY AVE, SUITE 200
NORMAL, IL 61761
Social Worker (Clinical)
706 OGLESBY AVE
NORMAL, IL 61761

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 Keith Studnicki's NPI number?

The NPI number for Keith Studnicki is 1649671603. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Keith Studnicki located?

Keith Studnicki practices at 706 Oglesby Ave #112, Normal, IL 61761. The listed phone number is (309) 585-0241.

What is Keith Studnicki's specialty?

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

Is Keith Studnicki enrolled in Medicare?

Yes. Keith Studnicki 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 organization bills Medicare for Keith Studnicki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Studnicki reassigns Medicare benefits to Truth In Love Counseling LLC (Bloomington, IL). The 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 Keith Studnicki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Studnicki was last updated on September 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.