Active NPI
Jenny Nilsen, L.P.C.
- Professional Counselor
- Lake Zurich, IL
National Provider Identifier
1831560903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.011151
- Practice address
- 22 Pamela Rd
Lake Zurich, IL 60047-1229 - Phone
- (847) 361-1168
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.011151 | IL | Primary |
Addresses
Primary practice location
22 Pamela Rd
Lake Zurich, IL 60047-1229
Mailing address
1440 Renaissance Dr
440
Park Ridge, IL 60068-1356
Phone (312) 624-9815
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011151 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1831560903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 RENAISSANCE DR",
"address_2": "440",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681356",
"telephone_number": "312-624-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PAMELA RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600471229",
"telephone_number": "847-361-1168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSEN",
"first_name": "JENNY",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.011151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.