Individual provider Active NPI

Nicole Lauren Rosene, LCSW, MSW

  • Mental Health Counselor
  • Westchester, IL
National Provider Identifier
1053830331
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9855 W Roosevelt Rd
Westchester, IL 60154-2758
Phone
(708) 681-2325
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

9855 W Roosevelt Rd
Westchester, IL 60154-2758

Mailing address

7927 W Cressett Dr
Elmwood Park, IL 60707-1346
Phone (708) 305-7391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101000329 IL Practitioner - Clinical Social Worker 0042586380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hinsdale Behavioral Health ClinicGroup PAC ID 2163619099, 9 clinicians

Practice addresses (Care Compare)

201 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3661
Phone (630) 920-1795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Behavioral Health Clinic CurrentSince Apr 1, 2019 Accepting new patients

Locations

201 E Ogden Ave
Ste 220
Hinsdale, IL 60521
Phone (630) 892-0417

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1053830331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 W CRESSETT DR",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071346",
            "telephone_number": "708-305-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 W ROOSEVELT RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542758",
            "telephone_number": "708-681-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENE",
        "first_name": "NICOLE",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

Verify at the official NPI Registry.