Individual provider Active NPI

Nicolas Bellegarde, MS, LCPC

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1114447158
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.017632 Issued in IL
Practice address
1425 Essington Rd
Joliet, IL 60435-2873
Phone
(815) 467-8181
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.017632 IL Primary

Addresses

Primary practice location

1425 Essington Rd
Joliet, IL 60435-2873

Mailing address

25224 W Eames St
Channahon, IL 60410-5215
Phone (815) 467-8181

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
I20260616002871 IL Practitioner - Mental Health Counselor 9032681556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25224 E Eames St
Channahon, IL 60410-5256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180.017632ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling & Coaching of Illinois, LLC Professional CurrentSince Nov 24, 2025 Accepting new patients

Locations

25224 W Eames St
Ste D
Channahon, IL 60410
Phone (815) 467-8181

25224 W Eames St
Channahon, IL 60410
Phone (815) 467-8181

1425 Essington Rd
Joliet, IL 60435
Phone (773) 510-5122

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1114447158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25224 W EAMES ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105215",
            "telephone_number": "815-467-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352873",
            "telephone_number": "815-467-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEGARDE",
        "first_name": "NICOLAS",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.017632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.