Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Nicasa

Q: What is the NPI number for Nicasa?

The NPI for Nicasa is 1457573099, a Type 2 (organization) record in the CMS NPPES registry.

Substance Use Disorder Rehabilitation Clinic/Center in Round Lake, IL · enumerated 2007 · authorized official Bruce Johnson, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457573099

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Registry record

Entity type Organization (Type 2)

Legal business name Nicasa

Practice address 31979 N Fish Lkae Rd, Round Lake, IL, 60073

Phone (847) 546-6450

Fax (847) 546-6760

Enumeration date May 3, 2007

Last updated in NPPES Apr 6, 2021

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License CA06140005A (IL) Secondary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Bruce Johnson

Title Coo

Phone (847) 546-6450

Other identifiers

Identifier	Type	State	Issuer
CA06140002A	Medicaid	IL	-
CA06140005A	Medicaid	IL	-
A06140005A	Other	IL	STATE OF ILLINOIS
A06140004A	Other	IL	STATE OF ILLINOIS
CA06140001A	Medicaid	IL	-
A06140003A	Other	IL	STATE OF ILLINOIS
A06140001A	Other	IL	STATE OF ILLINOIS
A06140002A	Other	IL	STATE OF ILLINOIS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Nicasa?

NPPES lists Bruce Johnson (Coo) as the authorized official for this organization.

What is the NPI number for Nicasa?

The NPI for Nicasa is 1457573099, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-06.