Healthcare Provider Details

I. General information

NPI: 1467396507
Provider Name (Legal Business Name): NICOLE KABLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 MCDOWELL ROAD SUITE 305
NAPERVILLE IL
60563
US

IV. Provider business mailing address

2175 MENOMINI LN
WHEATON IL
60189-7871
US

V. Phone/Fax

Practice location:
  • Phone: 630-689-1022
  • Fax:
Mailing address:
  • Phone: 847-902-7158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.018849
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.018652
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: