Active NPI
Nicole Connolly
- Professional Counselor
- Chicago, IL
National Provider Identifier
1497312466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653 - Phone
- (786) 471-5155
- NPI assigned
- May 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653
Mailing address
4104 L B McLeod Rd
Suite B, Hbt533-1
Orlando, FL 32811-5650
Phone (786) 471-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1497312466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 L B MCLEOD RD",
"address_2": "SUITE B, HBT533-1",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328115650",
"telephone_number": "786-471-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N MICHIGAN AVE STE 1430",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017653",
"telephone_number": "786-471-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2023-06-07",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.