Michelle Nicole Fry, MA, CRC, LPC
Individual provider Active NPI Professional Counselor · Hillside, IL
NPI 1376936336 · NPPES record last updated Mar 13, 2015
Key facts
- NPI
- 1376936336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.009665 (IL)
- Practice address
- 4110 Litt Dr
Hillside, IL 60162-1120 - Phone
- (708) 547-3560
- NPI assigned
- Mar 13, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00116763 | IL | MD | Counselor |
| 178.009665 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00116763 | IL | |
| Professional Counselor | 101YP2500X | 178.009665 | IL | Yes |
Addresses
Primary practice location
4110 Litt Dr
Hillside, IL 60162-1120
Mailing address
498 Thunderbird TRL
Carol Stream, IL 60188-1584
Phone (630) 347-2925
Other names
- Ms. Michelle Nicole Ruff
Other providers in Hillside, IL
- Barbara A. Dipaolo
- Jill Marie Dolan
- Emily Ann Duszynski
- Jade Fields
- Aide Fonseca
- Christopher Fuller
- Marni Garfinkel
- Christian Gaubatz
- Genesis Residential Living and Home Healthcare, Inc.
- Georgia Home Service LLC
All providers in Hillside, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.