Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kara Sue Cicciarelli, PHD, NCSP, LCP

Individual provider Clinical Psychologist · NPI 1609606565

Dr. Kara Sue Cicciarelli, PHD, NCSP, LCP is a Clinical Psychologist in Peoria, Illinois. Qualified in 2022, 4 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7317 N Willow Lake Ct
Peoria, IL 61614-8227
Phone: (309) 683-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071011250 (IL)

Record details

NPI number1609606565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , NCSP , LCP
Sole proprietorYes
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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