NICASA (NPI# 1912950460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912950460 |
| Entity Type | Organization |
| Organization Name | NICASA |
| Practice Address |
31979 N Fish Lake Rd Round Lake IL 60073-9517 |
| Practice Telephone | 8475466450 |
| Practice Fax Number | 8475466760 |
| Mailing Telephone | 8475466450 |
| Mailing Fax Number | 8475466760 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | LINDA SNELTEN (DIR OF ADMINISTRATION) |
| Authorized Official Telephone | 8475466450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | A-0614-0004-A | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457573099 | Nicasa | Community/Behavioral Health | 31979 N Fish Lkae Rd, Round Lake, IL 60073 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NICASA, NFP | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 |
| Massachusetts Corporations | NICASAM, LLC | 428 Hamilton St., Southbridge, MA 01550 |
| Street Address |
31979 N FISH LAKE RD |
| City | ROUND LAKE |
| State | IL |
| Zip Code | 60073-9517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980991 | Guillermina Figueroa | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2019-09-05 |
| 1811478464 | Anastasia Koumbis | Social Worker | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2018-08-22 |
| 1427549260 | Michael Gleason | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2018-05-29 |
| 1326542697 | Rebecca Craig | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2018-03-21 |
| 1396268827 | Nada Pavlovic | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2017-07-17 |
| 1386194231 | Tilisha Harrison | Social Worker | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2016-10-04 |
| 1134578529 | Kristina Marik | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2016-06-07 |
| 1306201173 | Christine Newton | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-12-22 |
| 1639544620 | Edmundo Lopez | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-12-02 |
| 1194199489 | Katarzyna Zalewska | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
| 1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
| 1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
| 1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
| 1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
| 1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
| 1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
| Find all providers in zip 60073 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948784 | The Hope Through Help Center, Inc. | Voluntary or Charitable | 8851 S Eggleston Ave, Chicago, IL 60620-2117 | 2020-06-30 |
| 1386292779 | Mindful Living & Care, LLC | Voluntary or Charitable | 8204 Coop Ave, Joliet, IL 60431-5400 | 2019-08-28 |
| 1043867112 | Southern Illinois Center for Independent Living | Voluntary or Charitable | 2135 W. Ramada Lane, Carbondale, IL 62901-5326 | 2019-08-22 |
| 1114580586 | Children and Family Comprehensive Health Outreach, Inc. | Voluntary or Charitable | 7401 Blackburn Ave Apt 202, Downers Grove, IL 60516-4144 | 2019-04-20 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1720447667 | Neptune | Voluntary or Charitable | 2189 N Il Route 83 Ste 220, Round Lake Beach, IL 60073-4906 | 2016-02-21 |
| 1366817017 | Englewood Community Connection Outreach | Voluntary or Charitable | 7326 S Exchange Ave, Chicago, IL 60649-3408 | 2015-12-07 |
| 1508235060 | Southeastern Il Agency On Aging, Inc | Voluntary or Charitable | 516 N Market St, Mount Carmel, IL 62863-1558 | 2015-09-15 |
| 1043687148 | Agesmart Community Resources | Voluntary or Charitable | 2365 Country Rd, Belleville, IL 62221-2571 | 2015-08-25 |
| 1265812044 | All Saints Center Inc. | Voluntary or Charitable | 1329 Rosemary Dr, Bolingbrook, IL 60490-4940 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | ROUND LAKE |
| Zip Code | 60073 |
Please comment or provide details below to improve the information on NICASA.
| 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.