NICOLLETTE MEBUST
NPI 1912628579
Counselor - Mental Health in Crystal Lake, IL

Active since September 12, 2022
820 E TERRA COTTA AVE STE 116, CRYSTAL LAKE, IL 60014(224) 256-2607 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicollette Mebust NPPES

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

NICOLLETTE MEBUST (NPI 1912628579) is an individual mental health provider in Crystal Lake, Illinois, licensed in Illinois (178.016491) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1912628579
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLLETTE MEBUST
Location Address820 E TERRA COTTA AVE STE 116Crystal Lake, IL 60014-3650
Mailing Address3904 Midway DrIsland Lake, IL 60042-9409 · (847) 528-8817
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 11, 2022
NPI 1912628579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178.016491
820 E TERRA COTTA AVE STE 116, Crystal Lake, IL 60014

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
820 E TERRA COTTA AVE STE 116
CRYSTAL LAKE, IL 60014

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 Nicollette Mebust's NPI number?

The NPI number for Nicollette Mebust is 1912628579. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Nicollette Mebust located?

Nicollette Mebust practices at 820 E Terra Cotta Ave Ste 116, Crystal Lake, IL 60014. The listed phone number is (224) 256-2607.

What is Nicollette Mebust's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicollette Mebust was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.