NICHOLAS SPIROS SOURBIS
NPI 1942660949
Counselor in Western Springs, IL

Q: What is Nicholas Sourbis's NPI number?

The NPI number for Nicholas Sourbis is 1942660949. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Q: What is Nicholas Sourbis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Sourbis was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 03, 2016PECOS Enrolled

1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558(708) 745-5277(708) 784-9451 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas Spiros Sourbis NPPES

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

NICHOLAS SPIROS SOURBIS (NPI 1942660949) is an individual counselor in Western Springs, Illinois and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942660949

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameNICHOLAS SPIROS SOURBIS

Location Address1023 BURLINGTON AVEWestern Springs, IL 60558-1516

Mailing Address1023 Burlington AveWestern Springs, IL 60558-1516 · (708) 745-5277 · Fax (708) 784-9451

Phone(708) 745-5277

Fax(708) 784-9451

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 3, 2016

✔ NPI 1942660949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1023 BURLINGTON AVE, Western Springs, IL 60558

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Spiros Sourbis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870023666

PECOS Enrollment IDI20250210000282

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.

Other Providers at the Same Location NPPES 20

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

KIMBERLY STEPHENS B.S.W., M.A.ED

Counselor (Mental Health)