Active NPI
Nefertiti L. Nowell, PHD
- Professional Counselor
- Naperville, IL
National Provider Identifier
1659344828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1979 N Mill St
Suite 202
Naperville, IL 60563-1200 - Phone
- (866) 397-0521
- Fax
- (866) 397-0521
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
1979 N Mill St
Suite 202
Naperville, IL 60563-1200
Mailing address
28361 Diehl Road
Suite B221
Warrenville, IL 60555
Phone (866) 397-0521
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180004585 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659344828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28361 DIEHL ROAD",
"address_2": "SUITE B221",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "60555",
"telephone_number": "866-397-0521",
"fax_number": "866-397-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 N MILL ST",
"address_2": "SUITE 202",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631200",
"telephone_number": "866-397-0521",
"fax_number": "866-397-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWELL",
"first_name": "NEFERTITI",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.