Individual provider Active NPI

Nicole Price

  • Mental Health Counselor
  • Glen Carbon, IL
National Provider Identifier
1538891734
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
88 S Main St Ste 2
Glen Carbon, IL 62034-1415
Phone
(618) 288-8085
Fax
(618) 288-8959
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

88 S Main St Ste 2
Glen Carbon, IL 62034-1415

Mailing address

PO Box 639
Glen Carbon, IL 62034-0639
Phone (618) 288-8085

Other practice location 1

307 Henry St Ste 100
Alton, IL 62002-6326
Phone (618) 288-8085

Other identifiers 1

IdentifierTypeStateIssuer
19700036OtherIMCANS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nprice610@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alternatives Counseling, Inc. Past Accepting new patients
Alternatives Counseling, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538891734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620340639",
            "telephone_number": "618-288-8085",
            "fax_number": "618-288-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 S MAIN ST STE 2",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341415",
            "telephone_number": "618-288-8085",
            "fax_number": "618-288-8959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Henry St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620026326",
            "country_code": "US",
            "telephone_number": "618-288-8085",
            "fax_number": "618-288-8959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMCANS",
            "identifier": "19700036",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nprice610@gmail.com",
            "affiliation": "N",
            "address_1": "88 S Main St Ste 2",
            "city": "Glen Carbon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620341415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.