NICHOLAS MCDONALD – Professional Counselor, NPI 1407231715

NICHOLAS MCDONALD is a healthcare provider. based in Worth, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180.016419 (IL). The NPI Number for NICHOLAS MCDONALD is 1407231715

Main info

Male
12 Years Of Experience
Name
NICHOLAS MCDONALD
NPI
1407231715
Phone
(708) 663-2249
Address
11423 S NATOMA AVE
Enumeration Date
28 July 2015
Deactivation Date
14 September 2018
Reactivation Date
21 February 2019
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6608370713
Professional Enrollment ID
I20250919003071
Address ID
IL605631559NA1555XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for NICHOLAS MCDONALD

  • 11423 S NATOMA AVE

    WORTH, IL 604822131

    Phone: (708) 663-2249

    Type: Mailing

  • 15010 S RAVINIA AVE

    ORLAND PARK, IL 604623162

    Phone: (708) 364-0580

    Fax: (708) 364-0480

    Type: Location

  • 1555 NAPER VL WHEATON RD STE 103

    NAPERVILLE, IL 605631559

    Phone: (708) 663-2249

    Type: Mailing

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: 2025-09-19

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
I20250919003071IMental 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 60482)

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Reviews

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Frequently asked questions

Can I verify NICHOLAS MCDONALD with an NPI only?
You can start verification with NPI 1407231715 for NICHOLAS MCDONALD, then check state licensing separately.
Does the file indicate NICHOLAS MCDONALD is practicing under active NPI?
Directory data currently reports NICHOLAS MCDONALD as active.
What is NICHOLAS MCDONALD best known for clinically?
Directory data describes NICHOLAS MCDONALD with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS MCDONALD based?
NICHOLAS MCDONALD is tied to Worth, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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