Nicole Coniglio, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011945 Issued in IL

Practice address

265 Stonegate Rd Ste 102
Algonquin, IL 60102-5614

Phone

(224) 678-9180

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Epp Advisory Group, Inc.

  • Professional Counselor
  • Algonquin, IL
  • NPI 1164778593

  Mental Health

  NPD

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1760022453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HILLTOP DR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561170",
            "telephone_number": "847-421-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 STONEGATE RD STE 102",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025614",
            "telephone_number": "224-678-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "NICOLE",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.011945",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.011945",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Mechelle Cloum, M.D.
• Paul F Coletti
• Matthew S Comerford, PT
• Complex Therapy, LTD
• Comprehensive Family Health Center, SC
• Katelyn N Copeland, APRN, CNP
• Amy Corcoran, PT
• Rachael Costello
• Brian Cox, D.C.
• Cpeters01

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.