Nicole Ford, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008984 Issued in IL

Practice address

1655 N Arlington Heights Rd Ste 304E
Arlington Heights, IL 60004-3978

Phone

(847) 670-0880

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Back Again Counseling Studio PLLC

  • Mental Health Counselor
  • Schaumburg, IL
  • NPI 1154198828
  NPD Authorized official
• Arlington Psychological Services, LTD.

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1891838785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1053682286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 TOWER RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734309",
            "telephone_number": "847-868-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD STE 304E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043978",
            "telephone_number": "847-670-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734309",
            "country_code": "US",
            "telephone_number": "708-277-9049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "NICOLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.007759",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fonda Lewis Insightful Counseling, PLLC
• Duane Louis Fontana, OD
• Foot & Ankle Wellness PC
• Heather L Forbes, PA-C
• Jennifer Lynne Ford, P.T.
• Mina Foroohar, M.D.
• Mark D Forrestal, MD
• Leslie Forrester, APRN
• William Forslev, PHARMD
• Tiffany Forte, MD

• Professional Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.