Active NPI
Nicole Anderson Barnds, MA, LCPC, BC-DMT
- Professional Counselor
- Northbrook, IL
National Provider Identifier
1386385672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180013375
- Practice address
- 1135 Skokie Blvd
Northbrook, IL 60062-4118 - Phone
- (847) 441-5600
- NPI assigned
- Apr 2, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.013375 | IL | |
| Dance Therapist | 225600000X | BC-DMT-1388 | IL | |
| Professional Counselor | 101YP2500X | 180013375 | IL | Primary |
Addresses
Primary practice location
1135 Skokie Blvd
Northbrook, IL 60062-4118
Mailing address
1308 N 12TH Ave Unit 2
Melrose Park, IL 60160-3532
Phone (919) 606-1355
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.013375 | IL | MD | Mental Health Counselor |
| 180013375 | IL | MD | Professional Counselor |
| BC-DMT-1388 | IL | MD | Dance Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Josselyn Center NFP | Current | Accepting new patients | |
| The Josselyn Center NFP | Current | Accepting new patients | |
| The Josselyn Center NFP | Current | Accepting new patients | |
| The Josselyn Center NFP | Past | Accepting new patients |
Locations
1135 Skokie Blvd
Northbrook, IL 60062
Phone (773) 430-3351
405 Central Ave
Northfield, IL 60093
Phone (847) 441-5603
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northbrook, IL
- NPI 1073548640
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1649806407
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grayslake, IL
- NPI 1841078714
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northbrook, IL
- NPI 1457011934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1386385672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 N 12TH AVE UNIT 2",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601603532",
"telephone_number": "919-606-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 SKOKIE BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624118",
"telephone_number": "847-441-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNDS",
"first_name": "NICOLE",
"middle_name": "ANDERSON",
"credential": "MA, LCPC, BC-DMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-02",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.013375",
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": "IL",
"license": "BC-DMT-1388",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180013375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.