Anthony Nichols, M.A. LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180011713 Issued in IL

Practice address

1810 Woodfield Dr Ste 201
Savoy, IL 61874-9377

Phone

(217) 417-1701

NPI assigned

Mar 31, 2016

Last updated

Jan 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Tony Nichols Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Centered Counseling and Consulting, LLC

  dba Hope Centered Counseling

  • Mental Health Counselor
  • Savoy, IL
  • NPI 1316401011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1639532369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WOODFIELD DR STE 201",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749377",
            "telephone_number": "217-417-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WOODFIELD DR STE 201",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749377",
            "telephone_number": "217-417-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ANTHONY",
        "credential": "M.A. LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180011713",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011713",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "NICHOLS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Momentum for Life Counseling
• Kelly-Jane Monahan, LCSW
• Danisha Moore, LSW
• Shannon Morgan
• Cymi Lynn Nappe, MSW
• Shanda Kay Nichols, LMT
• Kirsten Norris
• River O'Leary, LSW
• Stephanie Ifunanya Okoye, PHARMD
• Oladoyin Okunoren, LCSW

• Mental Health Counselor in Savoy, IL
• Providers in Savoy, 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 Jan 26, 2019; 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.

Verify at the official NPI Registry.