Individual provider Active NPI

Nicole Dionne

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1073167490
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19881 Issued in NC
Practice address
225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653
Phone
(312) 766-6780
Fax
(312) 261-5080
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7143 SC
Mental Health Counselor 101YM0800X 7863 SC
Mental Health Counselor 101YM0800X 19881 NC Primary

Addresses

Primary practice location

225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653

Mailing address

PO Box 1252
Spartanburg, SC 29304-1252

Other practice location 1

187 W Broad St
Spartanburg, SC 29306-3234
Phone (864) 582-7588

Other identifiers 1

IdentifierTypeStateIssuer
7863OtherSCSC STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndionne@tfcbh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240416002770 SC Practitioner - Mental Health Counselor 8527407162 Reassigns benefits to 2 organizations
I20240911003783 NC Practitioner - Mental Health Counselor 8527407162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians
NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians

Practice addresses (Care Compare)

2702 Farrell Rd
Sanford, NC 27330-6505
Phone (919) 776-9602

70 Oak St
Tryon, NC 28782-3495
Phone (828) 859-9161

70 Oak St
Tryon, NC 28782-3797
Phone (828) 859-9161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Jun 14, 2024 Accepting new patients
South Carolina Post Acute Medical Services 1 PC CurrentSince Mar 4, 2024 Accepting new patients
The Forrester Center for Behavioral Health, Inc. Addiction (Substance Use Disorder) CurrentSince Jul 31, 2022 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 4, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Jun 14, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Jun 14, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2702 Farrell Rd
Sanford, NC 27330
Phone (919) 608-9123

70 Oak St
Tryon, NC 28782
Phone (828) 859-9161

2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538

510 Thompson St
Gaffney, SC 29340
Phone (864) 489-3101

Organizations & group practices 7

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1073167490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1252",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293041252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MICHIGAN AVE STE 1430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017653",
            "telephone_number": "312-766-6780",
            "fax_number": "312-261-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293063234",
            "country_code": "US",
            "telephone_number": "864-582-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIONNE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "7143",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7863",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE LICENSE",
            "identifier": "7863",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndionne@tfcbh.org",
            "affiliation": "N",
            "address_1": "187 W Broad St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293063234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.