Nicholas Yeager, LCPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.010074 Issued in IL

Practice address

974 Main St
Antioch, IL 60002-1537

Phone

(847) 312-7482

NPI assigned

Jun 17, 2016

Last updated

Jun 17, 2016By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stone Labyrinth Counseling & Wellness, PLLC

  • Counselor
  • Antioch, IL
  • NPI 1548143571
  NPD Authorized official

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1871943118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 MAIN ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021537",
            "telephone_number": "847-312-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 MAIN ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021537",
            "telephone_number": "847-312-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "NICHOLAS",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.010074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Theresa Wirth, O.T.R.
• Stanley Jerome Witkiewicz, DDS
• Brandon B Wood, DMD
• Lonn Truong Yang, O.D.
• Richard Yang, O.D.
• Ashley Young, LCPC
• Richard L Zora, RPH

• Counselor in Antioch, IL
• Providers in Antioch, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.