Active NPI
Nicole Leigh Ness, MA, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1760926802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.012819
- Practice address
- 820 N Orleans St Ste 350
Chicago, IL 60610-3145 - Phone
- (312) 809-0298
- NPI assigned
- Dec 8, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.012546 | IL | |
| Professional Counselor | 101YP2500X | 180.012819 | IL | Primary |
Addresses
Primary practice location
820 N Orleans St Ste 350
Chicago, IL 60610-3145
Mailing address
820 N Orleans St Ste 350
Chicago, IL 60610-3145
Phone (312) 809-0298
Other practice location 1
2115 N Damen Ave
Chicago, IL 60647-4528
Phone (312) 373-0727
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.012546 | IL | MD | Counselor |
| 180.012819 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildflower Center for Emotional Health PLLC | Current | Accepting new patients |
Locations
820 N Orleans St
Ste 350
Chicago, IL 60610
Phone (312) 809-0298
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1114342599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1760926802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N ORLEANS ST STE 350",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103145",
"telephone_number": "312-809-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N ORLEANS ST STE 350",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103145",
"telephone_number": "312-809-0298"
}
],
"practiceLocations": [
{
"address_1": "2115 N Damen Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606474528",
"country_code": "US",
"telephone_number": "312-373-0727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NESS",
"first_name": "NICOLE",
"middle_name": "LEIGH",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.012546",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.012819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.