CEDRIC DALE HOARD (LPC) – Mental Health Counselor, NPI 1497261341

CEDRIC DALE HOARD (LPC) is a healthcare provider. based in Brookfield, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 3773-226 (WI). The NPI Number for CEDRIC DALE HOARD (LPC) is 1497261341

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
CEDRIC DALE HOARD (LPC)
NPI
1497261341
Phone
(414) 588-1262
Address
20230 LINDEN LN
Enumeration Date
14 December 2017
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
4688108657
Group Practice PAC ID
8325046162
Professional Enrollment ID
I20241113002604
Address ID
WI530054626Br12630AVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

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Provider Addresses for CEDRIC DALE HOARD (LPC)

  • 20230, Linden Lane, Town of Brookfield, Waukesha County, Wisconsin, 53045, United States

    BROOKFIELD, WI 530453520

    Phone: (414) 588-1262

    Type: Mailing

  • 12630, West North Avenue, Brookfield, Waukesha County, Wisconsin, 53005, United States

    BROOKFIELD, WI 530054626

    Phone: (262) 785-1008

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241113002604IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325046162View full group profile
NameSpecialtyState
Clinical Social WorkerWI
-WI
Clinical PsychologistWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

What unique ID ties claims to CEDRIC DALE HOARD (LPC)?
NPI 1497261341 is assigned to CEDRIC DALE HOARD (LPC) under the national enumeration system.
Is CEDRIC DALE HOARD (LPC)'s NPI currently valid?
The extract we use shows CEDRIC DALE HOARD (LPC) as active.
Can you summarize CEDRIC DALE HOARD (LPC)'s specialty in plain language?
Clinically, the directory lists CEDRIC DALE HOARD (LPC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is CEDRIC DALE HOARD (LPC)'s primary listing?
We display Brookfield, Wisconsin because that is what the record indicates for CEDRIC DALE HOARD (LPC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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