Active NPI
Nikki M. Jovicilo, LCPC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1346671252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.010117
- Practice address
- 4849 N Milwaukee Ave Ste 503
Chicago, IL 60630-2191 - Phone
- (773) 492-0913
- Fax
- (708) 249-0613
- NPI assigned
- Dec 2, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.010117 | IL | |
| Professional Counselor | 101YP2500X | 180.010117 | IL | |
| Mental Health Counselor | 101YM0800X | 180.010117 | IL | Primary |
Addresses
Primary practice location
4849 N Milwaukee Ave Ste 503
Chicago, IL 60630-2191
Mailing address
5350 W Carmen Ave Apt 2
Chicago, IL 60630-2224
Phone (773) 492-0913
Other names 1
- Nikki M. Lancaster
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010117 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satya Counseling PLLC | Professional | Current | Accepting new patients |
Locations
4849 N Milwaukee Ave
Ste 503
Chicago, IL 60630
Phone (773) 492-0913
4800 N Milwaukee Ave
Ste 205B
Chicago, IL 60630
Phone (773) 492-0913
Organizations & group practices 1
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1497290613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1346671252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 W CARMEN AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302224",
"telephone_number": "773-492-0913",
"fax_number": "708-249-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 N MILWAUKEE AVE STE 503",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302191",
"telephone_number": "773-492-0913",
"fax_number": "708-249-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOVICILO",
"first_name": "NIKKI",
"middle_name": "M.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.010117",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010117",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.010117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKKI",
"last_name": "LANCASTER",
"middle_name": "M.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.