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Nicole Perry

Counselor - Professional β€’ Wheaton, IL

Active NPI 1083006563 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

624 W Roosevelt Rd
Wheaton, IL 601875060

Call 7082320258 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

624 W Roosevelt Rd

Wheaton, IL 601875060

Telephone 7082320258
Organization at the Same NPPES Address or Phone
515 Fitness Inc. Facility NPI 1134508310

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Carol Stream, IL; Coal City, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicole Perry has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nicole Perry as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wheaton and Illinois

186 active clinicians are listed under Counselor - Professional with a practice address in Wheaton, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wheaton

3.8% of these 186 clinicians have the CMS telehealth indicator.

11.3% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 178009414
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240109000279

Enrollment State Jurisdiction

IL

PECOS Control ID

2163778309

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

40 N Broadway St

Coal City, IL 604161688

Phone: 6303527267

740 E Division St

Coal City, IL 604163007

Phone: 3122522074

411 E Geneva Rd

Carol Stream, IL 601882457

Phone: 8154691500

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 19, 2024

Registered at 624 W ROOSEVELT RD, WHEATON, IL 601875060 (Tel: 7082320258)

πŸ“
Updated Business Mailing Address September 19, 2024

Registered at 713 WARRENVILLE RD, WHEATON, IL 601896368 (Tel: 4406676195)

πŸ“
Updated Practice Location March 10, 2020

Registered at 40 N BROADWAY ST, COAL CITY, IL 604161688 (Tel: 6303527267)

πŸ“
Updated Business Mailing Address March 10, 2020

Registered at 40 N BROADWAY ST, COAL CITY, IL 604161688 (Tel: 6303527267)

βœ…
NPI Profile Active July 08, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2015

Registered at 740 E DIVISION ST, COAL CITY, IL 604163007 (Tel: 3122522074)

πŸ“
Business Mailing Address (Initial Record) July 08, 2015

Registered at 740 E DIVISION ST, COAL CITY, IL 604163007 (Tel: 3122522074)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2015

Recorded as NICOLE PERRY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2015

Counselor (license number reported to NPPES: IL 178009414)

🟒
Initial NPI Registration & Enumeration February 20, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083006563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2015
Last Update: April 02, 2025
Sole Proprietor: Yes

Mailing Address

713 Warrenville Rd

Wheaton, IL 601896368

Phone: 4406676195

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.