Healthcare Provider Details

I. General information

NPI: 1821900168
Provider Name (Legal Business Name): NICOLLE OSEQUEDA COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3139 N LINCOLN AVE STE 228
CHICAGO IL
60657-3173
US

IV. Provider business mailing address

2755 N PINE GROVE AVE
CHICAGO IL
60614-6109
US

V. Phone/Fax

Practice location:
  • Phone: 312-259-2665
  • Fax:
Mailing address:
  • Phone: 312-860-2858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLLE ALODIA MOLINA OSEQUEDA
Title or Position: OWNER
Credential: LMFT
Phone: 312-860-2858