MS. AMBER NICKOL (NPI# 1588053243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588053243 |
| Entity Type | Individual |
| Full Name | MS. AMBER NICKOL |
| Credential | BA |
| Practice Address |
1001 N Market St Mount Carmel IL 62863 |
| Mailing Address |
504 Micah Dr Olney IL 62450-4720 |
| Practice Telephone | 6182634970 |
| Practice Fax Number | 6182634837 |
| Mailing Telephone | 6183954306 |
| Mailing Fax Number | 6183954507 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1001 N MARKET ST |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477535490 | Lynn Carol Phillippe | Nurse Practitioner | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2005-11-16 |
| 1225642770 | Leann Zollars | Counselor | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2020-09-02 |
| 1922645910 | Wabash General Hospital District | Clinic/Center | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2019-12-09 |
| 1710351457 | Ronda Hockgeiger | Social Worker | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2015-11-18 |
| 1528446630 | Wabash County Health Department | Community/Behavioral Health | 1001 N Market St, Suite 101, Mount Carmel, IL 62863-1945 | 2015-05-08 |
| 1790061638 | Andrea S. Cruse | Social Worker | 1001 N Market St, Suite 101, Mount Carmel, IL 62863-1945 | 2011-10-24 |
| 1508174715 | Nicole L Myers | Counselor | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2010-09-22 |
| 1518154541 | Danielle Peach | Social Worker | 1001 N Market St, Suite 101, Mount Carmel, IL 62863-1945 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
| 1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1417147760 | Keesha L. Peterson | Speech-Language Pathologist | 1418 College Drive, Physical Medicine Department, Mount Carmel, IL 62863 | 2007-08-01 |
| 1740488139 | Wabash Area Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1420 West Third Street, Mt. Carmel, IL 62863 | 2007-07-06 |
| 1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
| 1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
| 1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
| 1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| Find all providers in zip 62863 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225642770 | Leann Zollars | Counselor | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2020-09-02 |
| 1073130530 | Haley Pottorff | Counselor | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2020-07-01 |
| 1275904187 | Alexis A Haile | Counselor | 129 E 5th St, Mount Carmel, PA 17851-2175 | 2015-10-19 |
| 1497094130 | Sydney Jade Straw | Counselor | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2013-01-31 |
| 1114257003 | Teri N Stangle | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2009-12-28 |
| 1821259789 | Laura Harris | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2008-06-23 |
| 1285802140 | Judy Schroeder | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2008-02-13 |
| 1457539173 | Kasey R Ford | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2008-02-05 |
| 1699891812 | Sandra M Hortin | Counselor | 130 W 7th St, Wabash County Health Department, Mount Carmel, IL 62863-1439 | 2007-03-21 |
| 1871620658 | Kim E O'neal | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1443 | 2007-02-27 |
| Find all providers in MOUNT CARMEL | ||||
| City | MOUNT CARMEL |
| Zip Code | 62863 |
Please comment or provide details below to improve the information on MS. AMBER NICKOL.
| 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.