Nicole Barnes
Individual provider Active NPI Counselor · La Salle, IL
NPI 1689428559 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1689428559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 815 2ND St
La Salle, IL 61301-2509 - Phone
- (815) 223-4007
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
815 2ND St
La Salle, IL 61301-2509
Mailing address
1627 N 2504TH Rd
Ottawa, IL 61350-9373
Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.