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ALLISON NICHOLS LSW
NPI 1215718622
Social Worker in Kenilworth, IL

Active since October 11, 2023PECOS Enrolled
400 GREEN BAY RD, KENILWORTH, IL 60043(847) 919-9096 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Allison Nichols Lsw NPPES

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

ALLISON NICHOLS LSW (NPI 1215718622) is an individual social worker in Kenilworth, Illinois, licensed in Illinois (150.111890) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215718622
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameALLISON NICHOLSCredential: LSW
Location Address400 GREEN BAY RDKenilworth, IL 60043-1001
Mailing Address400 Green Bay RdKenilworth, IL 60043-1001 · (847) 919-9096
Phone(847) 919-9096
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1215718622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150.111890
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
400 GREEN BAY RD, Kenilworth, IL 60043
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Nichols Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476047564
PECOS Enrollment IDI20251216002630
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.

Medicare Billing Reassignment

Medicare enrollment records show Allison Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inspire Counseling Center, LLC
8.1 mi
Professional
3100 DUNDEE RD, SUITE 101
Northbrook, IL 60062
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
NPI 1295289726 (847) 313-9490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

CONRAD JAMES BURGHARDT
Social Worker
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 919-9096
MELANIE UMBDENSTOCK
Counselor (Mental Health)
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 919-9096
EMMA OLSON
Counselor (Mental Health)
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 919-9096
HANNAH DUNN ROLIGHED
Counselor (Mental Health)
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 919-9096
DANIEL SCHAEFER MSW
Social Worker
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 917-2532
LAUREN A. TRANCHITA
Counselor (Mental Health)
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 919-9096
HILARY HOYE LSW
Social Worker
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 772-1534
JAE YOUN LEE LPC, NCC
Counselor (Mental Health)
400 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 919-9096

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 Allison Nichols's NPI number?

The NPI number for Allison Nichols is 1215718622. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Allison Nichols located?

Allison Nichols practices at 400 Green Bay Rd, Kenilworth, IL 60043. The listed phone number is (847) 919-9096.

What is Allison Nichols's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Allison Nichols enrolled in Medicare?

Yes. Allison Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Allison Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Nichols reassigns Medicare benefits to Inspire Counseling Center, LLC (Northbrook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allison Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Allison Nichols was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.