NICOLE JOSEPH
NPI 1912302068
Counselor - Professional in Chicago, IL

Active since October 31, 2014PECOS Enrolled
4420 S VINCENNES AVE APT 2N, CHICAGO, IL 60653(773) 936-0516 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Joseph NPPES

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

NICOLE JOSEPH (NPI 1912302068) is an individual professional provider in Chicago, Illinois and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912302068
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE JOSEPH
Location Address4420 S VINCENNES AVE APT 2NChicago, IL 60653-3442
Mailing Address4420 S Vincennes Ave Apt 2nChicago, IL 60653-3442 · (773) 936-0516
Sole ProprietorNo
Enumeration DateOctober 31, 2014
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1912302068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4420 S VINCENNES AVE APT 2N, Chicago, IL 60653

Other Identifiers 1

Medicaid36-6006553.IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 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.

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 Joseph's NPI number?

The NPI number for Nicole Joseph is 1912302068. It was assigned to this individual provider in the NPPES registry on October 31, 2014.

Where is Nicole Joseph located?

Nicole Joseph practices at 4420 S Vincennes Ave Apt 2N, Chicago, IL 60653. The listed phone number is (773) 936-0516.

What is Nicole Joseph's specialty?

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

Is Nicole Joseph enrolled in Medicare?

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

Which organization bills Medicare for Nicole Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Joseph reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Joseph'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 Joseph was last updated on August 9, 2022. 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.