Active NPI
Nicolle Danielle Sherwood
- Professional Counselor
- Peoria, IL
National Provider Identifier
1023650892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178023085
- Practice address
- 3716 W Brighton Ave
Peoria, IL 61615-2938 - Phone
- (309) 692-7755
- Fax
- (309) 692-2262
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178023085 | IL | Primary |
Addresses
Primary practice location
3716 W Brighton Ave
Peoria, IL 61615-2938
Mailing address
3716 W Brighton Ave
Peoria, IL 61615-2938
Phone (309) 692-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Day & Associates, LTD | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1023650892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 W BRIGHTON AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616152938",
"telephone_number": "309-692-7755",
"fax_number": "309-692-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3716 W BRIGHTON AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616152938",
"telephone_number": "309-692-7755",
"fax_number": "309-692-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "NICOLLE",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178023085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.