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

Individual provider Mental Health Counselor · NPI 1174770648

Nichole Jeters, LCPC is a Mental Health Counselor in Carbondale, Illinois. Qualified in 2012, 14 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 457-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180009521 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180009521 (IL)

Record details

NPI number1174770648
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedAugust 26, 2008
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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