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

Active since September 09, 2014PECOS Enrolled
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: August 09, 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
Phone(309) 585-0241
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Keith Studnicki Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

EMELINE MARIE FALK BCBA
Behavior Analyst
706 OGLESBY AVE
NORMAL, IL 61761
McLean County (800) 773-1682
MS. ERIN EVERLY LCSW
Social Worker
706 OGLESBY AVE, SUITE 300
NORMAL, IL 61761
McLean County (815) 370-5466
MRS. MICHELLE WEBSTER
Behavior Analyst
706 OGLESBY AVE, #200
NORMAL, IL 61761
McLean County (309) 585-2857
SARAH ELIZABETH WRIGHT MS, OTR/L
Occupational Therapist (Pediatrics)
706 OGLESBY AVE, UNIT 200
NORMAL, IL 61761
McLean County (309) 585-2857
MRS. AMY HALL LPC
Counselor (Professional)
706 OGLESBY AVE, STE. 112
NORMAL, IL 61761
McLean County (309) 585-0241
JENNA ROSE FORREST MANGOLD LCSW
Social Worker (Clinical)
706 OGLESBY AVE, SUITE 300
NORMAL, IL 61761
McLean County (309) 826-5806
JOHN RINALDI COTA/L
Occupational Therapy Assistant
706 OGLESBY AVE, SUITE 200
NORMAL, IL 61761
McLean County (309) 585-2857
DELYN DYAN DUGGINS LCSW
Social Worker (Clinical)
706 OGLESBY AVE
NORMAL, IL 61761
McLean County (309) 212-3606

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 enrollment system.

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 11 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.