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

Olivia Nickulis

Individual provider Mental Health Counselor · NPI 1174345615

Olivia Nickulis is a Mental Health Counselor in Lake Forest, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1 Westminster Pl Ste 101
Lake Forest, IL 60045-5511
Phone: (847) 919-9096
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1174345615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 27, 2024
Mailing addressN105w14599 Wilson Dr, Germantown, WI 53022-4359

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