Active NPI
Nicole Patterson
- Marriage & Family Therapist
- Algonquin, IL
National Provider Identifier
1265203350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001696
- Practice address
- 2100 Huntington Dr N Ste B
Algonquin, IL 60102-5940 - Phone
- (777) 779-7335
- NPI assigned
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001696 | IL | Primary |
Addresses
Primary practice location
2100 Huntington Dr N Ste B
Algonquin, IL 60102-5940
Mailing address
PO Box 276
Sycamore, IL 60178-0276
Phone (779) 777-7335
Other practice location 1
1625 Bethany Rd
Sycamore, IL 60178-3124
Phone (779) 777-7335
Other practice location 2
2726 N Buffalo Grove Rd Apt 205
Arlington Heights, IL 60004-7304
Phone (779) 777-7335
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1440 Renaissance Dr
Suite 320
Park Ridge, IL 60068-1471
Phone (847) 778-4533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001696 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Birds Mental Health Services PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Park Ridge, IL
- NPI 1902906324
-
- Psychiatric/Mental Health Nurse Practitioner
- Sycamore, IL
- NPI 1144141870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1265203350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601780276",
"telephone_number": "779-777-7335",
"fax_number": "815-758-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HUNTINGTON DR N STE B",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601025940",
"telephone_number": "777-779-7335"
}
],
"practiceLocations": [
{
"address_1": "1625 Bethany Rd",
"address_purpose": "LOCATION",
"city": "Sycamore",
"state": "IL",
"postal_code": "601783124",
"country_code": "US",
"telephone_number": "779-777-7335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2726 N Buffalo Grove Rd Apt 205",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600047304",
"country_code": "US",
"telephone_number": "779-777-7335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.