Nancy B Chickerneo, PH D LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180003142 Issued in IL

Practice address

39W040 Hogan HL
Elgin, IL 60124-8472

Phone

(630) 965-8778

Fax

(630) 965-8778

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1316020282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39W040 HOGAN HL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248472",
            "telephone_number": "630-965-8778",
            "fax_number": "630-965-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39W040 HOGAN HL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248472",
            "telephone_number": "630-965-8778",
            "fax_number": "630-965-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICKERNEO",
        "first_name": "NANCY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH D LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180003142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Elgin, IL
• Providers in Elgin, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.