Active NPI
Nicole Miceli
- Behavior Analyst
- Lombard, IL
National Provider Identifier
1508553132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 152.001269
- Practice address
- 991 Oak Creek Dr # 6
Lombard, IL 60148-6408 - Phone
- (847) 465-9556
- NPI assigned
- Apr 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 152.001269 | IL | Primary |
Addresses
Primary practice location
991 Oak Creek Dr # 6
Lombard, IL 60148-6408
Mailing address
991 Oak Creek Dr # 6
Lombard, IL 60148-6408
Phone (847) 465-9556
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": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1508553132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 OAK CREEK DR # 6",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486408",
"telephone_number": "847-465-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 OAK CREEK DR # 6",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486408",
"telephone_number": "847-465-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICELI",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "152.001269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.