Individual provider Active NPI

Natasha Nichole Nuss, BA MHP

  • Social Worker
  • Champaign, IL
National Provider Identifier
1154627172
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
614 W Healey St
Champaign, IL 61820-5025
Phone
(217) 398-1658
NPI assigned
Feb 9, 2011
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

614 W Healey St
Champaign, IL 61820-5025

Mailing address

502 W Springfield Ave
Apt 2
Champaign, IL 61820-4755
Phone (217) 495-1499

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
I20201217000057 IL Practitioner - Clinical Social Worker 3678985512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grit and Grace Therapy PLLCGroup PAC ID 2062889371, 6 clinicians

Practice addresses (Care Compare)

1204 E Oak St
2 2
Mahomet, IL 61853-2764
Phone (217) 530-5608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Keri Powell Therapy Inc CurrentSince Dec 3, 2020 Accepting new patients
Community Elements, Inc Past Accepting new patients
Rosecrance Inc Past Accepting new patients

Locations

2125 S Neil St
Champaign, IL 61820
Phone (217) 356-3736

7 Dunlap Ct
Savoy, IL 61874
Phone (217) 203-2008

Organizations & group practices 4

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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1154627172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W SPRINGFIELD AVE",
            "address_2": "APT 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204755",
            "telephone_number": "217-495-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W HEALEY ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205025",
            "telephone_number": "217-398-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSS",
        "first_name": "NATASHA",
        "middle_name": "NICHOLE",
        "credential": "BA MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.