MS. NICOLE ANNE ROBERTSON (NPI# 1093140253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093140253 |
| Entity Type | Individual |
| Full Name | MS. NICOLE ANNE ROBERTSON |
| Credential | LCPC |
| Practice Address |
320 S Locust St Carlinville IL 62626-1648 |
| Practice Telephone | 2178543166 |
| Practice Fax Number | 2178549729 |
| Mailing Telephone | 2178543166 |
| Mailing Fax Number | 2178549729 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178009320 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 178009320 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417362351 | Nicole Robertson | Anesthesiology | 1415 Ridge St, Iowa City, IA 52240-2720 | 2014-06-30 |
| 1033476536 | Nicole M Robertson | Massage Therapist | 3871 Sunshine Trl, Brighton, MI 48114-9211 | 2012-04-20 |
| 1295051738 | Nicole Camille Robertson | Physical Therapist | 6996 S Zarzamora St, Ste A, San Antonio, TX 78224-1126 | 2010-04-08 |
| 1336509702 | Nicole Robertson | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2016-02-29 |
| 1619373107 | Nicole Robertson | Social Worker | 3600 30th Street, Mental Health 116a, Des Moines, IA 50310 | 2014-11-10 |
| 1326449190 | Nicole Danielle Robertson | Pharmacist | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2014-09-11 |
| 1922361302 | Nicole Rebecca Robertson | Family Medicine | 1255 E M 36, Pinckney, MI 48169-8133 | 2012-06-20 |
| 1356564629 | Nicole B Robertson | Pharmacist | 1910 Main Ave Sw, Cullman, AL 35055-5219 | 2007-04-11 |
| Street Address |
320 S LOCUST ST |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265485106 | Juan M Medina | Psychiatry & Neurology | 320 S Locust St, Carlinville, IL 62626-1748 | 2006-05-19 |
| 1861005910 | Kim C Allison | Registered Nurse | 320 S Locust St, Carlinville, IL 62626-1648 | 2020-08-28 |
| 1023621158 | Ryan Watts | Registered Nurse | 320 S Locust St, Carlinville, IL 62626-1648 | 2020-08-28 |
| 1598307712 | Locust Street Resource Center | Clinic/Center | 320 S Locust St, Carlinville, IL 62626-1648 | 2019-10-09 |
| 1699242503 | Alexander Chipman | Counselor | 320 S Locust St, Carlinville, IL 62626-1648 | 2018-10-29 |
| 1871068817 | Rachel Lauren Hibbard | Social Worker | 320 S Locust St, Carlinville, IL 62626-1648 | 2018-10-05 |
| 1578918892 | Elizabeth Mcintosh | Social Worker | 320 S Locust St, Carlinville, IL 62626-1648 | 2016-04-25 |
| 1295129690 | Anne Greenwalt | Nurse Practitioner | 320 S Locust St, Carlinville, IL 62626-1648 | 2015-03-24 |
| 1326366287 | Molly A. Ondrey | Counselor | 320 S Locust St, Carlinville, IL 62626-1648 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1720155906 | Rodney Lee Bailey | Dentist | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC | Dentist | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center | Clinic/Center | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| Find all providers in zip 62626 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922366335 | Elaine Marsha Miller | Counselor | 209 N East St Ste 102, Carlinville, IL 62626-1309 | 2012-04-24 |
| 1285644690 | Thomas L Frydenger | Counselor | 20548 Timbered Estates Ln, Carlinville, IL 62626-3947 | 2006-08-08 |
| 1699242503 | Alexander Chipman | Counselor | 320 S Locust St, Carlinville, IL 62626-1648 | 2018-10-29 |
| 1043482748 | Sherry Lynn Kalicak | Counselor | 320 South Locust Street, Carlinville, IL 62626 | 2008-04-02 |
| 1669674214 | Brenda I Beanblossom | Counselor | 320 South Locust Street, Carlinville, IL 62626 | 2007-06-05 |
| 1174695290 | William Anderson | Counselor | 320 South Locust Street, Carlinville, IL 62626 | 2006-11-14 |
| 1972675098 | Joseph P Kravanya | Counselor | 320 South Locust Street, Carlinville, IL 62626 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
| 1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
| City | CARLINVILLE |
| Zip Code | 62626 |
Please comment or provide details below to improve the information on MS. NICOLE ANNE ROBERTSON.
| 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.