Organization Active NPI

Terrance S. MC Nicholas,LCSW,PC.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1073614699
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TERRANCE S. MC NICHOLAS,LCSW,PC.
Practice address
30 N Michigan Ave
Suite 1604
Chicago, IL 60602-3402
Phone
(312) 629-0018
Fax
(312) 629-1178
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Terrance S. MC Nicholas, LCSW
Title
Licensed Clinical Social Worker
Phone
(312) 629-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IL Primary

Addresses

Primary practice location

30 N Michigan Ave
Suite 1604
Chicago, IL 60602-3402

Mailing address

30 N Michigan Ave
Suite 1604
Chicago, IL 60602-3402
Phone (312) 629-0018

National Provider Directory

National Provider Directory

Locations

7350 W College Dr
Ste 101
Palos Heights, IL 60463
Phone (312) 629-0018

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1073614699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 1604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-629-0018",
            "fax_number": "312-629-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 1604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-629-0018",
            "fax_number": "312-629-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRANCE S. MC NICHOLAS,LCSW,PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MC NICHOLAS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "312-629-0018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.