Colleen Nolan, LPC, CADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178012140 Issued in IL

Practice address

801 Gloucester Dr
Elk Grove Village, IL 60007-3319

Phone

(847) 981-5900

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alexian Brothers Behavioral Health Hospital

  • Substance Abuse Rehabilitation Facility
  • Elk Grove Village, IL
  • NPI 1023723392
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1962986653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E PATTEN DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600747133",
            "telephone_number": "847-404-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GLOUCESTER DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073319",
            "telephone_number": "847-981-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Michigan Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017488",
            "country_code": "US",
            "telephone_number": "847-404-4564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "COLLEEN",
        "credential": "LPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "35207",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178012140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Newell, MSW
• Next Step Community Services
• Kristine M Nicoletto, PA-C
• Neneveh Nikola, MA
• Sandra Marie Nirva, MA, ATC
• Bridget Nora, SLP
• North West Health Institute SC
• Luke Robert-Joseph Northern, M.D.
• Northwest Oncology & Hematology SC
• Northwest Oncology and Hematology SC

• Counselor in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.