Carrie Ann Carr, M.A., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-004040 Issued in IL

Practice address

7300 W College Dr Ste 203
Palos Heights
Palos Heights, IL 60463-1183

Phone

(708) 448-7848

Fax

(708) 448-7845

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carrie Ann Cherep Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 16, 2024 through Sep 16, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Hec Medical

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
  • NPI 1922818467
  NPD Authorized official
• Hope Enrichment Center

  • Community/Behavioral Health Agency
  • Palos Heights, IL
  • NPI 1144670308
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083785554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 W COLLEGE DR STE 203",
            "address_2": "PALOS HEIGHTS",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631183",
            "telephone_number": "708-448-7848",
            "fax_number": "708-448-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W COLLEGE DR STE 203",
            "address_2": "PALOS HEIGHTS",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631183",
            "telephone_number": "708-448-7848",
            "fax_number": "708-448-7845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6858 Swinnea Rd Bldg 1B",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719493",
            "country_code": "US",
            "telephone_number": "662-536-6210",
            "fax_number": "662-536-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2053",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "CHEREP",
            "middle_name": "ANN",
            "credential": "MA, LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Godofredo C Carandang, MD
• Francesco Cardella, APRN, CRNA
• Daniel L Cardwell, PA-C
• Carl J. Laudando
• Carr Eye Professionals
• Tracy Ann Casas, AGACNP-BC
• Gerald Michael Casey, MD
• Cassie Cipriani LLC
• Deborah Ann Castaneda
• Phillip Cavazas, OT

• Professional Counselor in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.