Active NPI
Nicole Bialek
- Professional Counselor
- Elmhurst, IL
National Provider Identifier
1669165486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.015402
- Practice address
- 101 W Vallette St
Elmhurst, IL 60126-4419 - Phone
- (844) 984-7252
- NPI assigned
- May 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.016531 | IL | |
| Professional Counselor | 101YP2500X | 180.015402 | IL | Primary |
Addresses
Primary practice location
101 W Vallette St
Elmhurst, IL 60126-4419
Mailing address
2377 Meadowview CT
Aurora, IL 60502-6910
Phone (630) 815-2242
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.016531 | IL | MD | Professional Counselor |
| 180.015402 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1669165486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2377 MEADOWVIEW CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605026910",
"telephone_number": "630-815-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W VALLETTE ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601264419",
"telephone_number": "844-984-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALEK",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.016531",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.015402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.