Nestor Isaac Flores, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009494 Issued in IL

Practice address

2600 Ridgeland Ave
Berwyn, IL 60402-2725

Phone

(708) 317-5926

NPI assigned

Oct 27, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pilsen-Little Village Community Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berwyn, IL
  • NPI 1225418577
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1669844882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SCOVILLE AVE APT 4",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021964",
            "telephone_number": "773-759-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIDGELAND AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022725",
            "telephone_number": "708-317-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "NESTOR",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Irene Figgers
• Monica Figus
• Barbara Finnegan, MA CCC-A
• Carlos Flores, LCPC
• Dinora Flores, NP
• Rebecca Elaine Flores, LCPC
• Edward Foley, MD
• Forefront Dermatology, S.C.
• Daniel Vincent Fortuna, D.C.
• Barbara Foster

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.