Healthcare Provider Details

I. General information

NPI: 1366339814
Provider Name (Legal Business Name): NICHOLAS BARNHILL LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 DUNDEE RD STE 101
NORTHBROOK IL
60062-2424
US

IV. Provider business mailing address

355 WOOD CREEK RD APT 215
WHEELING IL
60090-6726
US

V. Phone/Fax

Practice location:
  • Phone: 847-400-0707
  • Fax:
Mailing address:
  • Phone: 386-507-6550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: