Nicole Anne Poloski, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178000703 Issued in IL

Practice address

2310 W Byrne Dr
Fox River Grove, IL 60021-1607

Phone

(630) 699-2985

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1437910064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W BYRNE DR",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211607",
            "telephone_number": "630-699-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W BYRNE DR",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211607",
            "telephone_number": "630-699-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOSKI",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178000703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Patel, M.S., CF-SLP
• Andrew J Pawlak, PHARMD
• Vini Pearlman
• Pediatric Associates of Barrington, S.C.
• Samantha Piasny
• John R Reader, D.D.S.
• Michael Reilly, M.D.
• Rejuvenate Acupuncture, Herb & Massage
• Megan Riley, CF-SLP
• Robert S. Kipferl, DPM S.C.

• Mental Health Counselor in Fox River Grove, IL
• Providers in Fox River Grove, 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 Jan 22, 2024; 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.