Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548552078 Individual Practitioner Female Practitioner

Lisa Nicklas

Counselor - Professional • Gurnee, IL

Professional Overview & Biography Verified Profile Summary

Lisa Nicklas is a registered healthcare professional specializing in Counselor - Professional in Gurnee, IL. Practice services are available at 1790 NATIONS DR STE 116 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1790 Nations Dr Ste 116

Gurnee, IL 600319175

Telephone 8472456567

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Gurnee, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.007737

Definition to come...

Secondary Practice Locations

1021 N Mulford Rd, Suite 1

Rockford, IL 611073877

Phone: 8153999700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ana Maroon , LCPC

Counselor - Professional

NPI 1093247694

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2017

Registered at 1790 NATIONS DR STE 116, GURNEE, IL 600319175 (Tel: 8472456567)

📍
Updated Business Mailing Address December 05, 2017

Registered at 1790 NATIONS DR STE 116, GURNEE, IL 600319175 (Tel: 8472456567)

👤
Provider Name / Credentials Updated December 05, 2017

Recorded as LISA NICKLAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Counselor (License #180.007737 in IL)

NPI Profile Active May 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2011

Registered at 1021 N MULFORD RD, SUITE 1, ROCKFORD, IL 611073877 (Tel: 8153999700)

📍
Updated Business Mailing Address May 02, 2011

Registered at 1021 N MULFORD RD, SUITE 1, ROCKFORD, IL 611073877 (Tel: 8153999700)

👤
Provider Name / Credentials Updated May 02, 2011

Recorded as LISA FICCO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2011

Counselor (License #180.007737 in IL)

🟢
Initial NPI Registration & Enumeration May 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548552078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2011
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

1790 Nations Dr Ste 116

Gurnee, IL 600319175

Phone: 8472456567

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.