Individual Healthcare Provider
Nichole Jeters, LCPC
Provider's NPPES record last updated: March 6, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1174770648
- Primary Specialty
- Counselor — Mental Health
- Practice Location
- Carbondale, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:20 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X Counselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500X
Provider-Reported License Information
- Counselor (Illinois)
- 180009521
- Counselor (Illinois)
- 180009521
Practice Locations
Practice Location
405 W Jackson St
Carbondale, Illinois 62901-1462
Phone: (618) 549-0721
Additional Practice Location
201 S 14th St
Herrin, Illinois 62948-3631
Phone: (618) 942-2171
Fax: (618) 351-4917
Additional Practice Location
2 S Hospital Dr
Murphysboro, Illinois 62966-3333
Phone: (618) 684-3156
Fax: (618) 529-0524
Record Information
- Enumeration Date
- August 26, 2008
- Provider's NPPES Record Last Updated
- March 6, 2026
- Certification Date
- March 6, 2026
- NPISignal NPPES Dataset
- August 2026
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