MEDICARE: KIMBERLY ANNE SAICH LCADC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37PC01057900	NJ
2	101YM0800X	Mental Health Counselor	100736	TX
3	101Y00000X	Counselor	100736	TX
4	101YM0800X	Mental Health Counselor	37PC01057900	NJ
5	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00344700	NJ

General Provider Information

NPI Number	:	1134533557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANNE SAICH LCADC, LPC

Provider Business Mailing Address
First Line	:	10101 W ATLANTIC BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6576
Country	:	US
Telephone Number	:	929-423-1828
Fax Number	:

Provider Business Practice Location Address
First Line	:	10101 W ATLANTIC BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6576
Country	:	US
Telephone Number	:	929-423-1828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	11/21/2025

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