Nicole Connolly
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1497312466
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1497312466
- Entity type
- Individual (NPI-1)
- Name
- Nicole Connolly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2019
- Certification date
- Apr 18, 2023
- Last updated
- Jun 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
225 N Michigan Ave Ste 1430Chicago, IL 60601-7653
Phone 786-471-5155
Mailing address
4104 L B McLeod RdSuite B, Hbt533-1
Orlando, FL 32811-5650
Phone 786-471-5155
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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