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MRS. NICOLE KIOUSSIS LCPC
NPI 1629491261
Counselor - Professional in Mount Prospect, IL

Active since February 03, 2014PECOS Enrolled
625 SLAWIN CT, MOUNT PROSPECT, IL 60056(312) 730-0361(224) 999-7566 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Nicole Kioussis Lcpc NPPES

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

MRS. NICOLE KIOUSSIS LCPC (NPI 1629491261) is an individual professional provider in Mount Prospect, Illinois, licensed in Illinois (180.011702) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629491261
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. NICOLE KIOUSSISCredential: LCPC
Location Address625 SLAWIN CTMount Prospect, IL 60056-2183
Mailing Address8727 Belden AveRiver Grove, IL 60171-1825 · (312) 730-0361
Phone(312) 730-0361
Fax(224) 999-7566
Sole ProprietorYes
Enumeration DateFebruary 3, 2014
Last NPPES UpdateJanuary 8, 2019
✔ NPI 1629491261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.011702
Also ListedCounselorTaxonomy 101Y00000X · License 178.009689 (IL), 00117978 (IL)
625 SLAWIN CT, Mount Prospect, IL 60056
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Kioussis Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nicole Kioussis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Services In Health Psychology, Ltd
41 mi
Clinical
1625 BETHANY RD
Sycamore, IL 60178
  • Reassigned Medicare billing, Illinois enrollment
  • 25 clinicians in this Medicare group
NPI 1306078894 (779) 777-7335

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 10

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

MARTIN MONTOYA LPC
Counselor (Professional)
625 SLAWIN CT
MOUNT PROSPECT, IL 60056
Cook County (847) 789-7155
MR. DOUGLAS A TESNOW L.P.C.
Counselor (Professional)
625 SLAWIN CT
MT PROSPECT, IL 60056
Cook County (847) 789-7155
MS. KATIE ANN SCHMID LPC
Counselor (Mental Health)
625 SLAWIN CT
MOUNT PROSPECT, IL 60056
Cook County (847) 789-7155
DR. ROBERT CARL JESPERSEN M.D.
Psychiatry & Neurology (Psychiatry)
625 SLAWIN CT
MOUNT PROSPECT, IL 60056
Cook County (847) 789-7155
MRS. RACHEL A HAUGHT LCPC
Counselor (Professional)
625 SLAWIN CT
MOUNT PROSPECT, IL 60056
Cook County (773) 332-6474
JAMES DOUGLAS SANDROLINI
Social Worker
625 SLAWIN CT
MT PROSPECT, IL 60056
Cook County (847) 789-7155
KIRSTEN DVORAK
Behavior Analyst
625 SLAWIN CT
MT PROSPECT, IL 60056
Cook County (312) 625-7217
MRS. SHELBY SOUMAR MSBP - BCBA
Behavior Analyst
625 SLAWIN CT
MOUNT PROSPECT, IL 60056
Cook County (715) 584-7789

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 Nicole Kioussis's NPI number?

The NPI number for Nicole Kioussis is 1629491261. It was assigned to this individual provider in the NPPES registry on February 3, 2014.

Where is Nicole Kioussis located?

Nicole Kioussis practices at 625 Slawin Ct, Mount Prospect, IL 60056. The listed phone number is (312) 730-0361.

What is Nicole Kioussis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Kioussis enrolled in Medicare?

Yes. Nicole Kioussis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Kioussis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kioussis reassigns Medicare benefits to Professional Services In Health Psychology, Ltd (Sycamore, 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 Nicole Kioussis'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 Nicole Kioussis was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.