Individual provider Active NPI

Thomas Joseph Nimrod

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1134745417
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180016031 Issued in NU
Practice address
5320 N Sheridan Rd Apt 1310
Chicago, IL 60640-2543
Phone
(872) 366-1474
NPI assigned
Jun 22, 2020
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X 180016031 NU Primary

Addresses

Primary practice location

5320 N Sheridan Rd Apt 1310
Chicago, IL 60640-2543

Mailing address

1205 W Sherwin Ave Apt 704
Chicago, IL 60626-2291

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
I20240802000667 IL Practitioner - Mental Health Counselor 2163969528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Loyola University of Chicago, Stritch School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Center of the North Shore IncGroup PAC ID 5597762310, 5 clinicians

Practice addresses (Care Compare)

5320 N Sheridan Rd
Apt 1310
Chicago, IL 60640-2543

540 W Frontage Rd
Suite 2208
Northfield, IL 60093-1225
Phone (872) 366-1474

992 /2 Green Bay Rd
Winnetka, IL 60093-1722
Phone (847) 446-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of the North Shore, Inc. CurrentSince Jun 20, 2024 Accepting new patients
Bodyup Counseling LLC Professional CurrentSince Jan 1, 2026 Accepting new patients

Locations

992 Green Bay Rd
Winnetka, IL 60093
Phone (847) 446-8060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1134745417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W SHERWIN AVE APT 704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N SHERIDAN RD APT 1310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402543",
            "telephone_number": "872-366-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMROD",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "180016031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.