Nicole Lynn Myers, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180014597 Issued in IL

Practice address

555 S Perryville Rd Ste 222
Rockford, IL 61108-2527

Phone

(815) 331-1023

NPI assigned

May 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Becoming Free Counseling Services PLLCGroup PAC ID 8729422860, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Becoming Free Counseling Services PLLC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1972379535
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1669037933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S PERRYVILLE RD STE 222",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082527",
            "telephone_number": "815-331-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S PERRYVILLE RD STE 222",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082527",
            "telephone_number": "815-331-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783131",
            "country_code": "US",
            "telephone_number": "815-787-9000",
            "fax_number": "815-787-9015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014880",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My First Words, Inc.
• My Massage Sanctuary, Inc
• Greg Myer, N.P
• John Carlton Myers, M.D.
• Lance Avery Myers, D.C.
• Karyssa Myhres, BCBA
• Myofascial Therapy Center at Rockford, LLC
• Karin Myrvold, LPTA
• Mys - Rockford LLC
• Nadeem Hanif, M.D.S.C.

• Professional Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.