Active NPI
Tiesha Mia Carr, ED.D, LPC
- Professional Counselor
- Palatine, IL
National Provider Identifier
1184057945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7111
- Practice address
- 1293 N Lakeview Dr
Palatine, IL 60067-2093 - Phone
- (985) 326-1882
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007337 | VA | |
| Professional Counselor | 101YP2500X | LC6047 | MD | |
| Professional Counselor | 101YP2500X | 7111 | LA | Primary |
Addresses
Primary practice location
1293 N Lakeview Dr
Palatine, IL 60067-2093
Mailing address
1293 N Lakeview Dr
Palatine, IL 60067-2093
Phone (443) 850-1701
Other names 1
- Dr. T. Mia Carr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6047 | MD | MD | Counselor |
| 0701007337 | VA | MD | Professional Counselor |
| 7111 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1184057945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1293 N LAKEVIEW DR",
"city": "PALATINE",
"state": "IL",
"postal_code": "600672093",
"telephone_number": "443-850-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1293 N LAKEVIEW DR",
"city": "PALATINE",
"state": "IL",
"postal_code": "600672093",
"telephone_number": "985-326-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "TIESHA",
"middle_name": "MIA",
"name_prefix": "Dr.",
"credential": "ED.D, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2026-02-12",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007337",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC6047",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "7111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "T. MIA",
"last_name": "CARR",
"prefix": "DR.",
"credential": "ED.D, LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.