LISA NICKLAS NPI 1548552078

NPI Information

  • NPI: 1548552078
  • Provider Name: LISA NICKLAS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1790 NATIONS DR STE 116
    GURNEE, IL
    ZIP 60031
  • Phone: (847) 245-6567

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NPI Details

Lisa Nicklas is a professional counselor in Gurnee, IL. Lisa Nicklas NPI is 1548552078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1790 NATIONS DR STE 116
GURNEE, IL
ZIP 60031-175
Phone: (847) 245-6567

The enumeration date for this NPI number is 5/2/2011 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180.007737ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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