KEVIN SISCOE (NPI# 1043632524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043632524 |
| Entity Type | Individual |
| Full Name | KEVIN SISCOE |
| Credential | LCPC |
| Practice Address |
6615 N Big Hollow Rd Peoria IL 61615-2450 |
| Practice Telephone | 3096926622 |
| Practice Fax Number | 3096926952 |
| Mailing Telephone | 3096926622 |
| Mailing Fax Number | 3096926952 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180008974 | IL | Behavioral Health & Social Service Providers |
| Street Address |
6615 N BIG HOLLOW RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358911 | Penelope A Ewbank | Allergy & Immunology | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2005-09-30 |
| 1659886877 | Abby Lynn Mitchell | Social Worker | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2017-12-11 |
| 1154748747 | Tiffany Jordan | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2014-03-21 |
| 1205127784 | Barbara L Toohill | Psychologist | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2011-05-02 |
| 1336453364 | Trinity Hope Maston | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2010-08-02 |
| 1194973404 | Maggie Classen | Social Worker | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2008-08-29 |
| 1093932295 | Donna Sue Wasson | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2007-04-19 |
| 1417053612 | Edgar Kobel Wolgamot IIi | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-15 |
| 1992808554 | Amy E Forsberg | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-07 |
| 1538262191 | Gayle Vincent Callahan | Psychologist | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815303 | Lauren Hope Auer | Counselor | 10511 Churchill Dr, Peoria, IL 61615-1179 | 2020-09-12 |
| 1467070854 | Nicole Richardson | Counselor | 12121 W Remuda Dr, Peoria, AZ 85383-5864 | 2020-07-11 |
| 1265061972 | John Westerberg | Counselor | 3516 W Harmon Hwy, Peoria, IL 61604-5925 | 2020-04-04 |
| 1427681097 | Renae Miller Counseling, Pllc | Counselor | 7501 N University St Ste 131, Peoria, IL 61614-1298 | 2020-02-21 |
| 1265993562 | Michele Meigh | Counselor | 11361 N 99th Ave Ste 107, Peoria, AZ 85345-5469 | 2019-03-28 |
| 1821563081 | Arizona Consulting and Counseling Services | Counselor | 8263 W Thunderbird Rd Ste 100, Peoria, AZ 85381-4615 | 2018-10-03 |
| 1710460332 | Amy Kathleen Biegler | Counselor | 8500 N Knoxville Ave Ste A&b, Peoria, IL 61615-2079 | 2018-09-10 |
| 1447732045 | Kristin Mckenzie | Counselor | 8037 W Spur Dr, Peoria, AZ 85383-6221 | 2018-08-30 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.