NICHOLAS FEDELE LCPC NPI 1912399064

NPI Information

NPI: 1912399064
Provider Name: NICHOLAS FEDELE, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
27W130 ROOSEVELT RD STE 203
WINFIELD, IL
ZIP 60190
Phone: (630) 588-8490
Get Directions

Nicholas Fedele, LCPC is a professional counselor in Winfield, IL. Nicholas Fedele, LCPC NPI is 1912399064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27W130 ROOSEVELT RD STE 203
WINFIELD, IL
ZIP 60190-643
Phone: (630) 588-8490
Fax: (630) 588-8491

The enumeration date for this NPI number is 2/26/2015 and was last updated on 3/31/2015.

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
1	101YP2500X	Counselor	Professional	180009484	ILLINOIS	No
2	101YP2500X	Counselor	Professional	178010043	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1144352626	OTHER	ILLINOIS	GROUP NPI

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: 5/5/2024

NPI Synchronization or Removal

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