Organization Active NPI

Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Zion, IL
National Provider Identifier
1548674666
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NICASA, NFP
Practice address
1632 23Rd St
Zion, IL 60099-2345
Phone
(847) 872-2830
Fax
(847) 731-7785
NPI assigned
Jun 17, 2014
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Linda Snelten
Title
Chief Operating Oficer
Phone
(847) 546-6450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Community/Behavioral Health Agency 251S00000X A-0614-0007-A IL

Addresses

Primary practice location

1632 23Rd St
Zion, IL 60099-2345

Mailing address

31979 N Fish Lake Rd
Round Lake, IL 60073-9517
Phone (847) 546-6450

Other identifiers 1

IdentifierTypeStateIssuer
C/A-0614-0007-AMedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Nicasa NFP13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1632 23rd St
Zion, IL 60099
Phone (847) 872-2830

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1548674666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31979 N FISH LAKE RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600739517",
            "telephone_number": "847-546-6450",
            "fax_number": "847-546-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 23RD ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992345",
            "telephone_number": "847-872-2830",
            "fax_number": "847-731-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICASA, NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "SNELTEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFICER",
        "authorized_official_telephone_number": "847-546-6450"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0614-0007-A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C/A-0614-0007-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.