Jessica Annemarie Nichols

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1975 MC Dowell Rd Ste 101
Naperville, IL 60563-6533

Phone

(331) 229-8839

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Instructional ABA Consultants Waiver Services

  • Adolescent and Children Mental Health Clinic/Center
  • Naperville, IL
  • NPI 1871252817
  NPD

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1467253005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 GRAND AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155120",
            "telephone_number": "630-414-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MC DOWELL RD STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636533",
            "telephone_number": "331-229-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JESSICA",
        "middle_name": "ANNEMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Nguyen, OTR/L
• Keith Nguyen
• Quan P Nguyen, D.C.
• Amy Pearson Nichols, LCPC
• Jaye Rossella Nichols, LCSW, MSW
• Poshlyn Nicholson, MSW
• Nick McDoanld Counselling Services Incorporated
• Jennifer Nicoletti, LCPC
• Tara Rada Nieberding
• Janet Marie Nielsen, M.D.

• Behavior Technician in Naperville, IL
• Providers in Naperville, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.