THOMAS JOSEPH NIMROD – Professional Counselor, NPI 1134745417

THOMAS JOSEPH NIMROD is a healthcare provider. based in Chicago, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180016031 (). The NPI Number for THOMAS JOSEPH NIMROD is 1134745417

Main info

Male
6 Years Of Experience
Name
THOMAS JOSEPH NIMROD
NPI
1134745417
Phone
Not provided
Address
1205 W SHERWIN AVE APT 704
Enumeration Date
22 June 2020
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8474468060
Graduation Year
2020 (6 years ago)
PAC ID
2163969528
Group Practice PAC ID
5597762310
Professional Enrollment ID
I20240802000667
Address ID
IL600931722WI992XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for THOMAS JOSEPH NIMROD

  • 1205 W SHERWIN AVE APT 704

    CHICAGO, IL 606262291

    Phone:

    Type: Mailing

  • 5320 N SHERIDAN RD APT 1310

    CHICAGO, IL 606402543

    Phone: (872) 366-1474

    Type: Location

  • 1205 W SHERWIN AVE

    CHICAGO, IL 606262263

    Phone:

    Type: Mailing

  • 126 E CHESTNUT ST

    CHICAGO, IL 606112014

    Phone: (224) 435-1929

    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: 2024-08-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240802000667IMental Health CounselorILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60626)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597762310View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do payers reference THOMAS JOSEPH NIMROD?
For THOMAS JOSEPH NIMROD, use NPI 1134745417 as the unique 10-digit identifier.
Is THOMAS JOSEPH NIMROD still an active registrant?
THOMAS JOSEPH NIMROD carries an active NPI according to the public dataset.
How would a patient describe THOMAS JOSEPH NIMROD's focus?
For THOMAS JOSEPH NIMROD, the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is THOMAS JOSEPH NIMROD located near Chicago?
THOMAS JOSEPH NIMROD currently maps to Chicago, Illinois in this extract.
Can I trust this NPI listing for THOMAS JOSEPH NIMROD?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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