KRISTEN NICHOLS


Address: 325 Il Route 2, Dixon, IL 61021-9118
Phone: 8152846611

KRISTEN NICHOLS (NPI# 1043529886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043529886
Entity Type Individual
Full Name KRISTEN NICHOLS
Credential MS, QMHP, CADC
Practice Address 325 Il Route 2
Dixon
IL 61021-9118
Practice Telephone 8152846611
Mailing Telephone 8152846611
Enumeration Date 2010-09-28
Last Update Date 2014-03-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
25265 IL Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
IL Behavioral Health & Social Service Providers

Other Providers KRISTEN NICHOLS

NPI Name Taxonomy Address Enumeration
1437776341 Kristen Elizabeth Nichols Counselor 204 Hampton Dr, Venice, CA 90291-2623 2020-06-26
1447885322 Kristen Elizabeth Nichols Social Worker 2277 Grand Ave, Baldwin, NY 11510-3148 2020-03-11
1972143816 Kristen Michelle Nichols Licensed Practical Nurse 38882 Mentor Ave, Willoughby, OH 44094-7875 2020-01-08
1285285718 Kristen Nichols Speech-Language Pathologist 534 Owl Creek Dr, Powder Springs, GA 30127-6285 2019-09-25
1265942486 Kristen Ann Nichols Registered Nurse 780 Albany St, Boston, MA 02118-2755 2017-10-02
1710404702 Kristen Busico Nichols Social Worker 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 2017-08-29
1053841064 Kristen Marie Nichols Marriage & Family Therapist 8950 Villa La Jolla Dr Ste A218, La Jolla, CA 92037-1711 2017-06-13
1063590727 Kristen L. Nichols Emergency Medicine 6600 Bruceville Rd, Sacramento, CA 95823-4671 2006-11-01
1467431874 Kristen Benae Nichols Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2006-01-13

Office Location

Street Address 325 IL ROUTE 2
City DIXON
State IL
Zip Code 61021-9118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922114115 Sinnissippi Centers, Inc. Voluntary or Charitable 325 Il Route 2, Dixon, IL 61021-9118 2006-08-21
1669073987 Stephanie Ann Raimonde Counselor 325 Il Route 2, Dixon, IL 61021-9118 2020-11-03
1134728934 Holly Noel Muntean Counselor 325 Il Route 2, Dixon, IL 61021-9118 2020-10-22
1467069864 Stephanie Reitzel Social Worker 325 Il Route 2, Dixon, IL 61021-9118 2020-09-29
1205442977 Rebecca Rose Feick Counselor 325 Il Route 2, Dixon, IL 61021-9118 2020-09-18
1528672466 Julie Lynn Kirchhoff Counselor 325 Il Route 2, Dixon, IL 61021-9118 2020-09-08
1558974576 Lara Jean Petersen Counselor 325 Il Route 2, Dixon, IL 61021-9118 2020-08-28
1528671062 Emily Sheaffer Counselor 325 Il Route 2, Dixon, IL 61021-9118 2020-08-25
1326665795 Maryn E Palmer Counselor 325 Il Route 2, Dixon, IL 61021-9118 2020-07-01
1871124826 Emily Marie Carroll Licensed Practical Nurse 325 Il Route 2, Dixon, IL 61021-9118 2020-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699331082 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1600 South Galena Ave, Dixon, IL 61021 2019-05-12
1285135590 Richard Allen Sibert Counselor 325 Il Route 2,dixon Il, Dixon, IL 61021 2018-02-22
1518485432 Madeline Luniewicz Counselor 325 Il-2, Dixon, IL 61021 2017-08-30
1669992566 Nicole Marie Shaffer Specialist/Technologist 650 Reynoldswood Road, Dixon, IL 61021 2017-06-21
1346660446 Lydia Sitter Audiologist 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 2014-04-16
1053600080 Janet I. Malmberg Nurse Practitioner 309 South Galena Ave, Suite 100, Dixon, IL 61021 2011-03-30
1376775262 Kelly L Klein Optometrist 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 2009-08-11
1013119106 Michael Joseph Sarno Physical Therapist 401 E. First Street, Dixon, IL 61021 2007-06-01
1891905600 Thomas G. Gehlbach Internal Medicine 215 E 1st St Ste 111, Dixon, IL 61021 2007-05-23
1699987230 Sameer Jain Family Medicine 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 2007-05-04
Find all providers in zip 61021

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902451669 Angel Ann-marie Gatchel Counselor 715 Berkshire Ct, Dixon, CA 95620-2223 2019-08-08
1568021137 Kim Miller Counselor 748 Timber Creek Rd, Dixon, IL 61021-9564 2019-06-07
1285135590 Richard Allen Sibert Counselor 325 Il Route 2,dixon Il, Dixon, IL 61021 2018-02-22
1821390972 Stephanie Knight Englund Counselor 325 Rte 2, Dixon, IL 61021-9118 2010-11-23
1962524793 Michael C Tucker Counselor 748 Timbercreek Road, Dixon, IL 61021 2007-04-04
1427117118 Kelly L Burrow Counselor 325 Il Rt 2, Dixon, IL 61021 2006-12-08
1275133514 Stephanie Mae Roman Counselor 325 Illinois Rt 2, Dixon, IL 61021-9118 2020-10-27
1659913929 Emma Swanson Counselor 922 Washington Ave, Dixon, IL 61021-1254 2019-10-08
1417517277 Alison Danielle White Counselor 325 Illinois Rt 2, Dixon, IL 61021-9118 2019-06-14
1295213882 Jessica M Douglass Counselor 325 Il Route 2, Dixon, IL 61021-9118 2018-08-06
Find all providers in DIXON

Competitor

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City DIXON
Zip Code 61021

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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