Active NPI
Nicole J. Rabideau, LCPC, CADC
- Mental Health Counselor
- Melrose Park, IL
National Provider Identifier
1629422852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1414 Main St
Melrose Park, IL 60160-3902 - Phone
- (708) 681-0073
- NPI assigned
- Apr 13, 2016
- 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
1414 Main St
Melrose Park, IL 60160-3902
Mailing address
797 S Spring Rd
Elmhurst, IL 60126-4723
Phone (773) 251-2565
Other names 1
- Ms. Nicole J Howard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529000517 | IL | Practitioner - Mental Health Counselor | 5092157693 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
340 W Butterfield Rd
Suite Lle
Elmhurst, IL 60126-5024
Phone (331) 255-5346
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Through the Woods PLLC | Mental Health | Current | Accepting new patients |
Locations
340 W Butterfield Rd
Ste Lle
Elmhurst, IL 60126
Phone (331) 255-5346
Organizations & group practices 1
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": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1629422852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 S SPRING RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601264723",
"telephone_number": "773-251-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 MAIN ST",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601603902",
"telephone_number": "708-681-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABIDEAU",
"first_name": "NICOLE",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "LCPC, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HOWARD",
"middle_name": "J",
"prefix": "MS.",
"credential": "LCPC, CADC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.