Nancy Suzanne Neukomm, CADC, LCPC, NCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007459 Issued in IL

Practice address

2205 E University Ave
Suite a
Urbana, IL 61802-2811

Phone

(217) 841-5622

Fax

(217) 367-1058

NPI assigned

Jun 22, 2010

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

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.

• Healthy Thoughts Wellness Center

  • Community/Behavioral Health Agency
  • Urbana, IL
  • NPI 1003335290
  NPD (past) Authorized official

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1073824215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E UNIVERSITY AVE",
            "address_2": "SUITE A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618022811",
            "telephone_number": "217-841-5622",
            "fax_number": "217-367-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 E UNIVERSITY AVE",
            "address_2": "SUITE A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618022811",
            "telephone_number": "217-841-5622",
            "fax_number": "217-367-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUKOMM",
        "first_name": "NANCY",
        "middle_name": "SUZANNE",
        "credential": "CADC, LCPC, NCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "27164",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navis Health LLC (Navis Health)
• Brady Neitzel, PA-C
• Srivaths Nekkanti, MD
• Kimberly Lauren Nelczyk, PA-C
• Kaitlyn Nelson, RN
• Kendall C Newsome, MD
• Brittany Newton, OT
• Khoa Nguyen, APRN, CNP
• Lan Nguyen, M.D.
• Richard E Nicol, MD

• Mental Health Counselor in Urbana, IL
• Providers in Urbana, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.