Nicolle Alodia Molina Osequeda, LICENSED MARRIAGE &

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000873 Issued in IL

Practice address

2755 N. Pine Grove Ave.
Chicago, IL 60614

Phone

(312) 259-2665

Fax

(773) 248-3701

NPI assigned

Nov 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Nicolle Alodia Molina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lincoln Park Therapy Group

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1144672908
  NPD Authorized official
• Nicolle Osequeda Counseling PLLC

  dba Lincoln Park Therapy Group

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1740094358

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1437331428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 N. PINE GROVE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "312-259-2665",
            "fax_number": "773-248-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 N. PINE GROVE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "312-259-2665",
            "fax_number": "773-248-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEQUEDA",
        "first_name": "NICOLLE",
        "middle_name": "ALODIA MOLINA",
        "name_prefix": "Mrs.",
        "credential": "LICENSED MARRIAGE &",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 55828",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000873",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLLE",
            "last_name": "MOLINA",
            "middle_name": "ALODIA",
            "credential": "MARRIAGE & FAMILY TH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Osei Boateng
• Gloria Esi Osei-Tutu, APRN
• Albert Mensah Osei, M.D.
• Anita Osei
• Richard A Oselio, PT
• David Gilbert Oser, DDS
• Osf Multi-Specialty Group (OSF OnCall Urgent Care)
• Peter Thomas Osgood, M.D.
• Rebekah Osgood, M.D.
• Lauren Oshana, RD, LD

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.