Mr Michael Nickson, VRC, CRC, LCPC is a
Rehabilitation Counselor based in Hines, Illinois. Mr Michael Nickson is licensed to practice in * (Not Available) (license number 65571) and his current practice location is
Edward Hines Jr. Va Hospital, Vrs(mc:116a7), 5000 S. 5th Ave., Hines, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 202-2530.
NPI number for Mr Michael Nickson is 1417792623 and his current mailing address is 6930 S Honore St, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417792623.
Healthcare Provider's Profile
Full Name | Mr Michael Nickson |
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Gender | Male |
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Speciality | Rehabilitation Counselor |
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Location | Edward Hines Jr. Va Hospital, Vrs(mc:116a7), Hines, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417792623
- Provider Enumeration Date: 06/28/2024
- Last Update Date: 06/28/2024
Medical Identifiers
Medical identifiers for Mr Michael Nickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417792623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180.007568 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.007568 (Illinois) | Secondary |
225C00000X | Rehabilitation Counselor | 65571 (* (Not Available)) | Primary |
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. Mr Michael Nickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael Nickson, VRC, CRC, LCPC 6930 S Honore St, Chicago, IL 60636-3234 Ph: (773) 653-1152 | Mr Michael Nickson, VRC, CRC, LCPC Edward Hines Jr. Va Hospital, Vrs(mc:116a7), 5000 S. 5th Ave., Hines, IL 60141 Ph: (708) 202-2530 |
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