Cara Eliana Fisher Wellvang, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.012915 Issued in IL

Practice address

1702 Sherman Ave
Evanston, IL 60201-3713

Phone

(847) 425-9708

NPI assigned

Jun 24, 2017

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

Other names 1

• Cara Eliana Fisher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute for Therapy Through the Arts

  • Adolescent and Children Mental Health Clinic/Center
  • Evanston, IL
  • NPI 1154708899

  Professional

  NPD (past)
• Music Institute of Chicago

  • Professional Counselor
  • Evanston, IL
  • NPI 1558606590
  NPD (past)

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498262400000",
    "number": "1003336629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013713",
            "telephone_number": "847-425-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013713",
            "telephone_number": "847-425-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLVANG",
        "first_name": "CARA",
        "middle_name": "ELIANA FISHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2017-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "FISHER",
            "middle_name": "ELIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2017; 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.