NICASA, NFP (NPI# 1962952499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962952499 |
| Entity Type | Organization |
| Organization Name | NICASA, NFP |
| Practice Address |
1724 1st St Highland Park IL 60035-3202 |
| Mailing Address |
31979 N Fish Lake Rd Round Lake IL 60073-9517 |
| Practice Telephone | 8474331303 |
| Practice Fax Number | 8474332324 |
| Mailing Telephone | 8475466450 |
| Mailing Fax Number | 8475466760 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | LINDA SNELTEN (CHIEF OPERATION OFFICER) |
| Authorized Official Telephone | 8475466450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0614-0006 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | A-0614-0006 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548674666 | Nicasa, Nfp | Community/Behavioral Health | 1632 23rd St, Zion, IL 60099-2345 | 2014-06-17 |
| 1194149542 | Nicasa, Nfp | Community/Behavioral Health | 1724 1st St, Highland Park, IL 60035-3202 | 2014-02-05 |
| 1841614294 | Nicasa, Nfp | Community/Behavioral Health | 2031 Dugdale Rd, North Chicago, IL 60064-1928 | 2014-02-05 |
| 1851715205 | Nicasa, Nfp | Community/Behavioral Health | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2014-02-05 |
| 1700336229 | Nicasa, Nfp | Clinic/Center | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2016-10-07 |
| 1225588759 | Nicasa, Nfp | Clinic/Center | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2016-10-07 |
| 1982154407 | Nicasa, Nfp | Clinic/Center | 2031 Dugdale Rd, North Chicago, IL 60064-1928 | 2016-10-07 |
| 1902220353 | Nicasa, Nfp | Community/Behavioral Health | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2014-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NICASA, NFP | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 |
| Street Address |
1724 1ST ST |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194149542 | Nicasa, Nfp | Community/Behavioral Health | 1724 1st St, Highland Park, IL 60035-3202 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on NICASA, NFP.
| 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.