NICASA
NPI 1457573099
Clinic/Center - Rehabilitation, Substance Use Disorder in Round Lake, IL

Q: What is Nicasa's NPI number?

The NPI number for Nicasa is 1457573099. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is Nicasa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Nicasa was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 03, 2007

31979 N FISH LKAE RD, ROUND LAKE, IL 60073(847) 546-6450(847) 546-6760 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicasa NPPES

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

NICASA (NPI 1457573099) is a healthcare organization registered as a rehabilitation, substance use disorder in Round Lake, Illinois and active in the NPI registry since May 2007. The organization lists Bruce Johnson, Coo, as its authorized official.

NPPES Registry Identity

NPI1457573099

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameNICASA

Location Address31979 N FISH LKAE RDRound Lake, IL 60073

Mailing Address31979 N Fish Lkae RdRound Lake, IL 60073 · (847) 546-6450 · Fax (847) 546-6760

Phone(847) 546-6450

Fax(847) 546-6760

Organization SubpartNo

Authorized OfficialBruce JohnsonCoo · (847) 546-6450

Enumeration DateMay 3, 2007

Last NPPES UpdateApril 6, 2021

NPPES CertifiedApril 6, 2021

✔ NPI 1457573099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License CA06140005A (IL)

31979 N FISH LKAE RD, Round Lake, IL 60073

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Other Identifiers 8

OtherA06140001AIL · State Of Illinois

OtherA06140003AIL · State Of Illinois

OtherA06140004AIL · State Of Illinois

OtherA06140005AIL · State Of Illinois

OtherA06140002AIL · State Of Illinois

MedicaidCA06140005AIL

MedicaidCA06140001AIL

MedicaidCA06140002AIL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Nicasa's NPI number?

The NPI number for Nicasa is 1457573099. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Nicasa located?

Nicasa is located at 31979 N Fish Lkae Rd, Round Lake, IL 60073. The listed phone number is (847) 546-6450.

What is Nicasa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Nicasa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nicasa 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 Nicasa was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.