ELIZABETH A KLICKER-NICKLAY LCPC
NPI 1275066094
Counselor - Professional in Chicago, IL
About Elizabeth A Klicker-nicklay Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH A KLICKER-NICKLAY LCPC (NPI 1275066094) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180010949) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth A Klicker-nicklay Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Klicker-nicklay's NPI number?
The NPI number for Elizabeth Klicker-nicklay is 1275066094. It was assigned to this individual provider in the NPPES registry on April 8, 2017.
Where is Elizabeth Klicker-nicklay located?
Elizabeth Klicker-nicklay practices at 4707 N Broadway St Ste 205, Chicago, IL 60640. The listed phone number is (773) 236-7563.
What is Elizabeth Klicker-nicklay's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Elizabeth Klicker-nicklay enrolled in Medicare?
Yes. Elizabeth Klicker-nicklay is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elizabeth Klicker-nicklay was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Elizabeth A Klicker-Nicklay, LCPC · NPI 1275066094
Professional provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since April 8, 2017.
## Identity
- **NPI:** 1275066094 (Entity type: Individual)
- **Enumerated:** April 8, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180010949 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4707 N BROADWAY ST STE 205, Chicago, IL 60640-4963
- **Phone:** (773) 236-7563
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275066094) · Data from the CMS NPPES public registry.