Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Nicole Anne List, LCPC

Individual provider Professional Counselor · NPI 1093140253

MS. Nicole Anne List, LCPC is a Mental Health Counselor in Carlinville, Illinois. Qualified in 2013, 13 years ago. Practices with Locust Street Resource Center, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2013
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

320 S Locust St
Carlinville, IL 62626-1648
Phone: (217) 854-3166
Fax: (217) 854-9729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178009320 (IL)

Record details

NPI number1093140253
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 6, 2013
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Locust Street Resource Center — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carlinville