Nicole Larucci, LTD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.008684 Issued in IL

Legal business name

NICOLE LARUCCI, LTD

Practice address

1301 Pyott Rd Ste 201E
Lake in the Hills, IL 60156-9797

Phone

(224) 703-6504

Fax

(224) 678-9652

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Larucci, MA LCPCNPI 1588002729

Title

Owner/Provider

Phone

(630) 338-3696

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole M Larucci, LCPC

  • Professional Counselor
  • Lake in the Hills, IL
  • NPI 1588002729
  NPD Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1639688641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S EMERALD DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600513309",
            "telephone_number": "630-338-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 201E",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569797",
            "telephone_number": "224-703-6504",
            "fax_number": "224-678-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE LARUCCI, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "LARUCCI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "630-338-3696",
        "authorized_official_credential": "MA LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008684",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Mugera, LSW
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• Kim Neilson, LSW
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• James Nikoleit, MD
• Kaleigh Nobbe, LPC, NCC
• Northern Illinois Foot & Ankle Specialists
• Northwest Home Health Care & Rehabilitation, Inc.
• Nurturing Village Center, Inc.

• Mental Health Counselor in Lake in the Hills, IL
• Providers in Lake in the Hills, 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 Apr 21, 2023; 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.