Mrs Nicole Kioussis, LCPC in Mount Prospect, IL

Mrs Nicole Kioussis, LCPC is a medicare enrolled "Counselor - Professional" provider in Mount Prospect, Illinois. Her current practice location is 625 Slawin Ct, Mount Prospect, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 730-0361.

Mrs Nicole Kioussis is licensed to practice in Illinois (license number 180.011702) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629491261.

Contact Information

	Mrs Nicole Kioussis, LCPC
	625 Slawin Ct, Mount Prospect, IL 60056-2183
	(312) 730-0361
	(224) 999-7566

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Kioussis
Gender	Female
Speciality	Counselor - Professional
Location	625 Slawin Ct, Mount Prospect, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629491261
Provider Enumeration Date: 02/03/2014
Last Update Date: 01/08/2019

Medicare PECOS Information:

PECOS PAC ID: 6800247313
Enrollment ID: I20240308001139

Medical Identifiers

Medical identifiers for Mrs Nicole Kioussis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629491261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.011702 (Illinois)	Primary
101Y00000X	Counselor	00117978 (Illinois)	Secondary
101Y00000X	Counselor	178.009689 (Illinois)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Nicole Kioussis allows following entities to bill medicare on her behalf.

Entity Name	Professional Services In Health Psychology Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306078894 PECOS PAC ID: 4981736550 Enrollment ID: O20100716000490

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Kioussis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Nicole Kioussis, LCPC 8727 Belden Ave, River Grove, IL 60171-1825 Ph: (312) 730-0361	Mrs Nicole Kioussis, LCPC 625 Slawin Ct, Mount Prospect, IL 60056-2183 Ph: (312) 730-0361

Reviews and Comments

Counselor in Mount Prospect, IL

Steven Dewey Welton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Elmhurst Ave, Mount Prospect, IL 60056 Phone: 224-398-6385
Dian Medrano, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 W Central Rd, Mount Prospect, IL 60056 Phone: 708-789-5669
Martin Montoya, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 Slawin Ct, Mount Prospect, IL 60056 Phone: 847-789-7155
Christina Hall, M.ED, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1585 Dempster St, Mount Prospect, IL 60056 Phone: 847-621-2040
Dr. Lisa Michelle Kohut, ED.D, ED.S, M.ED, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 E Northwest Hwy, Ste 106, Mount Prospect, IL 60056 Phone: 847-845-2092 Fax: 847-299-4952
Ms. Katie Ann Schmid, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 Slawin Ct, Mount Prospect, IL 60056 Phone: 847-789-7155 Fax: 847-789-7161
Mr. Michael Juhasz I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 W Huntington Commons Rd Apt 336, Mount Prospect, IL 60056 Phone: 224-217-0811

Mrs Nicole Kioussis, LCPC - Medicare Counselor in Mount Prospect, IL