Carolyn Collins, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180006405 Issued in IL

Practice address

3330 Old Glenview Rd Ste 10
Wilmette, IL 60091-2963

Phone

(773) 562-4708

NPI assigned

Jan 29, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1003274564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 POLO LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254439",
            "telephone_number": "773-562-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 10",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "773-562-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180006405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citadel Care Center-Wilmette, LLC
• Michael G Clark, DC
• Ruth J Clermont
• Howard Cohen, M.D.
• Lisa Kay Cohen, P.T.
• Thomas N Collins, D.C.
• Richard B Colosi, PT
• Comprehensive Communication Partners, PLLC
• Kathleen Conley, CCC-SLP
• Loretta Lederer Connolly, LCSW

• Mental Health Counselor in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.