Nicole Cohen Probst, MHP
Individual provider Active NPI Case Manager/Care Coordinator · Waterloo, IL
NPI 1124823638 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1124823638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 988 N Illinois Route 3
Waterloo, IL 62298-1059 - Phone
- (618) 939-4444
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
988 N Illinois Route 3
Waterloo, IL 62298-1059
Mailing address
PO Box 146
Waterloo, IL 62298-0146
Phone (618) 939-4444
Other providers in Waterloo, IL
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- Christian Social Services of Illinois
- Faith Clark
- Clarkson Optometry Illinois PC
- Rachelle Coggin
- Community Living Options Inc
- County of Monroe
- County of Monroe
- Scott L Courtney
- Kendra Crain
All providers in Waterloo, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.