Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Siscoe, LCPC

Individual provider Professional Counselor · NPI 1043632524

Kevin Siscoe, LCPC is a Marriage and Family Therapist in Peoria, Illinois. Qualified in 2010, 16 years ago. Practices with The Antioch Group Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2014
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

6615 N Big Hollow Rd
Peoria, IL 61615-2450
Phone: (309) 692-6622
Fax: (309) 692-6952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180008974 (IL)

Record details

NPI number1043632524
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJanuary 17, 2014
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Antioch Group Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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