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NICOLLE M GAUDETTE
NPI 1255002036
Counselor - Mental Health in Chicago, IL

Active since September 22, 2021PECOS Enrolled
2601 W MARQUETTE RD, CHICAGO, IL 60629(312) 720-3287 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicolle M Gaudette NPPES

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

NICOLLE M GAUDETTE (NPI 1255002036) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255002036
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLLE M GAUDETTE
Location Address2601 W MARQUETTE RDChicago, IL 60629-1817
Mailing Address2601 W Marquette RdChicago, IL 60629-1817 · (312) 720-3287
Phone(312) 720-3287
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1255002036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2601 W MARQUETTE RD, Chicago, IL 60629
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolle M Gaudette is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153893730
PECOS Enrollment IDI20260615002805
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 20

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

MILLICENT NTIAMOAH MSW
Social Worker
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 655-5123
KELSHA REYES
Counselor (Addiction (Substance Use Disorder))
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 808-2953
MRS. ZINNIA CARVAJAL MA, ICDVP
Counselor (Mental Health)
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 361-4809
SOPHIA B HALIM
Social Worker
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 349-8050
ALEXANDRIA SIMONE TAYLOR LSW
Doula
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 349-8031
ARELYS PEREZ LCSW
Social Worker (Clinical)
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 565-2550
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Clinic/Center (Mental Health (Including Community Mental Health Center))
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 655-7700
CASSANDRA RAMOS
Case Manager/Care Coordinator
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 330-8610

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 Nicolle Gaudette's NPI number?

The NPI number for Nicolle Gaudette is 1255002036. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Nicolle Gaudette located?

Nicolle Gaudette practices at 2601 W Marquette Rd, Chicago, IL 60629. The listed phone number is (312) 720-3287.

What is Nicolle Gaudette's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicolle Gaudette enrolled in Medicare?

Yes. Nicolle Gaudette is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolle Gaudette was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.