Active NPI
Nicasa, NFP
- Substance Use Disorder Rehabilitation Clinic/Center
- Highland Park, IL
National Provider Identifier
1962952499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- A-0614-0006
- Legal business name
- NICASA, NFP
- Practice address
- 1724 1St St
Highland Park, IL 60035-3202 - Phone
- (847) 433-1303
- Fax
- (847) 433-2324
- NPI assigned
- Oct 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Snelten
- Title
- Chief Operation Officer
- Phone
- (847) 546-6450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | A-0614-0006 | IL | Primary |
Addresses
Primary practice location
1724 1St St
Highland Park, IL 60035-3202
Mailing address
31979 N Fish Lake Rd
Round Lake, IL 60073-9517
Phone (847) 546-6450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-0614-0006 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Nicasa NFP
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Round Lake, IL
- NPI 1457573099
-
- Voluntary or Charitable Agency
- Round Lake, IL
- NPI 1912950460
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Waukegan, IL
- NPI 1437705746
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Lake, IL
- NPI 1952798431
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Highland Park, IL
- NPI 1194149542
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Buffalo Grove, IL
- NPI 1225588759
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Zion, IL
- NPI 1548674666
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1700336229
-
- Substance Use Disorder Rehabilitation Clinic/Center
- North Chicago, IL
- NPI 1841614294
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Waukegan, IL
- NPI 1851715205
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buffalo Grove, IL
- NPI 1902220353
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Chicago, IL
- NPI 1982154407
Locations
1724 1st St
Highland Park, IL 60035
Phone (847) 433-1303
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Round Lake, IL
- NPI 1326542697
-
- Mental Health Counselor
- Highland Park, IL
- NPI 1962865907
-
- Mental Health Counselor
- Highland Park, IL
- NPI 1821458027
-
- Professional Counselor
- Highland Park, IL
- NPI 1669318812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617753600000",
"number": "1962952499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31979 N FISH LAKE RD",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "600739517",
"telephone_number": "847-546-6450",
"fax_number": "847-546-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 1ST ST",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353202",
"telephone_number": "847-433-1303",
"fax_number": "847-433-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICASA, NFP",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A",
"authorized_official_last_name": "SNELTEN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
"authorized_official_telephone_number": "847-546-6450"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "IL",
"license": "A-0614-0006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A-0614-0006",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.