Provider Demographics
NPI:1124734058
Name:NEST COUNSELING, LLC
Entity type:Organization
Organization Name:NEST COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMFT, LPC
Authorized Official - Phone:331-201-0676
Mailing Address - Street 1:10S531 RUTGERS CT
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-5131
Mailing Address - Country:US
Mailing Address - Phone:331-201-0676
Mailing Address - Fax:
Practice Address - Street 1:3825 HIGHLAND AVENUE
Practice Address - Street 2:TOWER 1 SUITE 3K
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:630-277-9119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL166.001132OtherIL LMFT LICENSE
COLPC.0005430OtherCO LPC LICENSE