Individual provider Active NPI

Nicole Gill, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1780937193
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.007155 Issued in IL
Practice address
1731 N Marcey St Ste 535
Terry Hefter Associates L.L.C.
Chicago, IL 60614-7965
Phone
(312) 280-1166
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.007155 IL Primary

Addresses

Primary practice location

1731 N Marcey St Ste 535
Terry Hefter Associates L.L.C.
Chicago, IL 60614-7965

Mailing address

1731 N Marcey St Ste 535
Terry Hefter Associates L.L.C.
Chicago, IL 60614-7965
Phone (312) 280-1166

Other names 1

  • Ms. Nicole Bock Former name

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

State licenses

LicenseStateTypeSpecialty
180.007155ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Terry Hefter Associates LLC PastSince Jan 1, 2010 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1780937193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST STE 535",
            "address_2": "TERRY HEFTER ASSOCIATES L.L.C.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147965",
            "telephone_number": "312-280-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST STE 535",
            "address_2": "TERRY HEFTER ASSOCIATES L.L.C.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147965",
            "telephone_number": "312-280-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BOCK",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 1, 2013; 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.