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NICOLE SCHAEFFER
NPI 1073102877
Counselor - Professional in Mount Vernon, IL

Active since January 15, 2021
4114 N WATER TOWER PL STE F, MOUNT VERNON, IL 62864(618) 634-7753(618) 316-7058 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Schaeffer NPPES

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

NICOLE SCHAEFFER (NPI 1073102877) is an individual professional provider in Mount Vernon, Illinois, licensed in Illinois (178.016448) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1073102877
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE SCHAEFFER
Location Address4114 N WATER TOWER PL STE FMount Vernon, IL 62864-6548
Mailing Address4114 N Water Tower Pl Ste FMount Vernon, IL 62864-6548 · (618) 315-8470 · Fax (618) 216-1492
Phone(618) 634-7753
Fax(618) 316-7058
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
NPPES CertifiedDecember 22, 2020
✔ 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 · 178.016448
4114 N WATER TOWER PL STE F, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES 3

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

WORTHY LIFE WELLNESS, PLLC
Counselor (Professional)
4114 N WATER TOWER PL STE F
MOUNT VERNON, IL 62864
Jefferson County (618) 965-8030
AMBER L WEYHRICH MA, LPC
Counselor (Professional)
4114 N WATER TOWER PL STE F
MOUNT VERNON, IL 62864
Jefferson County (618) 316-7058
ASPIRE INTEGRATED HEALTH, PLLC
Counselor
4114 N WATER TOWER PL STE F
MOUNT VERNON, IL 62864
Jefferson County (618) 634-7753

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 Schaeffer's NPI number?

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

Where is Nicole Schaeffer located?

Nicole Schaeffer practices at 4114 N Water Tower Pl Ste F, Mount Vernon, IL 62864. The listed phone number is (618) 634-7753.

What is Nicole Schaeffer'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 Schaeffer was last updated on January 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.