NICOLE H GERNDT LCPC
NPI 1114040649
Counselor - Professional in Oak Park, IL
Active since April 09, 2007
About Nicole H Gerndt Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE H GERNDT LCPC (NPI 1114040649) is an individual professional provider in Oak Park, Illinois and active in the NPI registry since April 2007.
NPPES Registry Identity
NPI1114040649
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE H GERNDTCredential: LCPC
Location Address6601 NORTH AVEOak Park, IL 60302-1005
Mailing Address4214 Sunnyside AveBrookfield, IL 60513-2013 · (773) 332-9637 · Fax (186) 620-6262
Phone(773) 332-9637
Fax(186) 620-6262
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114040649 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
6601 NORTH AVE, Oak Park, IL 60302
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114040649, enumerated as an "individual" on April 09, 2007.
The provider is located at 6601 NORTH AVE OAK PARK, IL 60302 and the phone number is (773) 332-9637.
Counselor with taxonomy code 101YP2500X and a focus in Professional.