NICOLE MAXWELL
NPI 1134977127
Psychologist - Counseling in Sycamore, IL

Active since May 07, 2024PECOS EnrolledAccepts Medicare Assignment
1625 BETHANY RD, SYCAMORE, IL 60178(779) 777-7335 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Maxwell NPPES

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

NICOLE MAXWELL (NPI 1134977127) is an individual counseling provider in Sycamore, Illinois, licensed in Illinois (071011214) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Algonquin, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134977127
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameNICOLE MAXWELL
Location Address1625 BETHANY RDSycamore, IL 60178-3124
Mailing Address1625 Bethany RdSycamore, IL 60178-3124 · (779) 777-7335
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
NPI 1134977127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in IL · 071011214
Definition

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

1625 BETHANY RD, Sycamore, IL 60178

Secondary Practice Location 1

Location 12100 Huntington Dr N Ste BAlgonquin, IL 60102-5940 · Phone (777) 779-7335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Maxwell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880139294
PECOS Enrollment IDI20240710001741
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

Physical Therapist
1625 BETHANY RD
SYCAMORE, IL 60178
Psychologist (Clinical)
1625 BETHANY RD
SYCAMORE, IL 60178
Marriage & Family Therapist
1625 BETHANY RD
SYCAMORE, IL 60178
Marriage & Family Therapist
1625 BETHANY RD
SYCAMORE, IL 60178
Psychologist (Clinical)
1625 BETHANY RD
SYCAMORE, IL 60178
Psychologist (Clinical)
1625 BETHANY RD
SYCAMORE, IL 60178
Psychologist (Clinical)
1625 BETHANY RD
SYCAMORE, IL 60178
Counselor (Mental Health)
1625 BETHANY RD
SYCAMORE, IL 60178

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134977127, enumerated as an "individual" on May 07, 2024.

The provider is located at 1625 BETHANY RD SYCAMORE, IL 60178 and the phone number is (779) 777-7335.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.