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
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth A Klicker-nicklay Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Klicker-nicklay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- 35 clinicians in this Medicare group
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
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.
Which organization bills Medicare for Elizabeth Klicker-nicklay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Klicker-nicklay reassigns Medicare benefits to The Juniper Center PC (Park Ridge, 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 Elizabeth Klicker-nicklay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Klicker-nicklay accept?
Health plans from Oscar Health list Elizabeth Klicker-nicklay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elizabeth Klicker-nicklay was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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
- **Bills Medicare through:** The Juniper Center PC (NPI 1902906324, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275066094) · Data from the CMS NPPES public registry.