Jose Rodrigo Nino, M.A., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-005762 Issued in IL

Practice address

7366 N Lincoln Ave
Suite 406
Lincolnwood, IL 60712-1708

Phone

(773) 307-4767

Fax

(847) 673-4721

NPI assigned

Apr 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Mosaic Counseling & Consulting, LLC

  • Professional Counselor
  • Lincolnwood, IL
  • NPI 1992311542
  NPD Authorized official

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1780648493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE",
            "address_2": "SUITE 406",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121708",
            "telephone_number": "773-307-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE",
            "address_2": "SUITE 406",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121708",
            "telephone_number": "773-307-4767",
            "fax_number": "847-673-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINO",
        "first_name": "JOSE",
        "middle_name": "RODRIGO",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH PROVIDER NUMBER",
            "identifier": "258267",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO PROVIDER #",
            "identifier": "01635496",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danilyn Nguyen, PT
• Rebecca Hamilton Nino, MA, LCPC
• Nivram Management, Inc.
• Tiffani Nixon
• John Anthony Nofar, PSYD
• Nora Gynecology & Obstetrics

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.