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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE MITCHELL
NPI 1073102877
Counselor - Professional in Belleville, IL

Active since January 15, 2021
1624 CARLYLE AVE STE 543, BELLEVILLE, IL 62221(618) 731-6923 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Jan 15, 2021 (2 updates tracked since 2021).

About Nicole Mitchell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MITCHELL (NPI 1073102877) is an individual professional provider in Belleville, Illinois, licensed in Illinois (180.015247) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1073102877
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE MITCHELL
Location Address1624 CARLYLE AVE STE 543Belleville, IL 62221-4558
Mailing Address1624 Carlyle Ave Ste 543Belleville, IL 62221-4558 · (618) 731-6923 · Fax (618) 416-1252
Phone(618) 731-6923
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1073102877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.015247
1624 CARLYLE AVE STE 543, Belleville, IL 62221
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Other Names 1

Former Name (1)Nicole Schaeffer

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYLEEN SUZZETTE HERNANDEZ
Counselor (Mental Health)
1624 CARLYLE AVE STE 543
BELLEVILLE, IL 62221
St. Clair County (618) 416-1252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mitchell's NPI number?

The NPI number for Nicole Mitchell is 1073102877. It was assigned to this individual provider in the NPPES registry on January 15, 2021. The provider is also known as Nicole Schaeffer.

Where is Nicole Mitchell located?

Nicole Mitchell practices at 1624 Carlyle Ave Ste 543, Belleville, IL 62221. The listed phone number is (618) 731-6923.

What is Nicole Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nicole Mitchell was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.