MRS. NICOLE PERRY – Professional Counselor, NPI 1083006563
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,308 MENTAL HEALTH COUNSELOR in IL
Provider Addresses for MRS. NICOLE PERRY
40 N BROADWAY ST
COAL CITY, IL 604161688
Phone: (630) 352-7267
Fax: (779) 234-6513
Type: Mailing
40 N Broadway St
Coal City, IL 604161688
Phone: (630) 352-7267
Type: Location
740 E Division St
Coal City, IL 604163007
Phone: (312) 252-2074
Type: Location
411 E Geneva Rd
Carol Stream, IL 601882457
Phone: (815) 469-1500
Fax: (630) 326-7992
Type: Location
713 WARRENVILLE RD
WHEATON, IL 601896368
Phone: (440) 667-6195
Fax: (779) 234-6513
Type: Mailing
624 W ROOSEVELT RD
WHEATON, IL 601875060
Phone: (708) 232-0258
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109000279 | I | Mental Health Counselor | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60416)
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