Active NPI
Nicole Price
- Mental Health Counselor
- Glen Carbon, IL
National Provider Identifier
1538891734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19700036 | Other | IMCANS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alton, IL
- NPI 1689029431
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alton, IL
- NPI 1912369364
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.