Nicholas Larkin, LCPC, LMHC, RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.014245 Issued in IL

Practice address

100 Saunders Rd Ste 150
Lake Forest, IL 60045-2526

Phone

(617) 650-0785

NPI assigned

Mar 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Holistic Counseling and Wellness, Limited Liability Company

  • Mental Health Counselor
  • Lincolnshire, IL
  • NPI 1033760020

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1518208404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAUNDERS RD STE 150",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452526",
            "telephone_number": "617-650-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAUNDERS RD STE 150",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452526",
            "telephone_number": "617-650-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NE 123rd St Ste 314",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812883",
            "country_code": "US",
            "telephone_number": "617-650-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "LCPC, LMHC, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-03",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "37590",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17097",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041514573",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Forest Regenesis Medical Center, PLLC
• Lake Forest School District 67
• Lake Shore Pediatrics, LTD
• Christopher R. Lang, MD
• Sanford L Lapin, MD
• Jessica T Larson, RD, LDN
• Gerald Lasin, MD
• Steven Matthew Lasin, MD
• Jillian M Laue, DPT
• Adam Lavan

• Mental Health Counselor in Lake Forest, IL
• Providers in Lake Forest, 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 Sep 10, 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.