Karla K Ivankovich, PHD, LCPC, NCC, BCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180004490 Issued in IL

Practice address

5025 N Paulina St Ste 325
Chicago, IL 60640-2772

Phone

(312) 527-6500

Fax

(800) 281-6952

NPI assigned

Apr 8, 2011

Last updated

May 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Karla K Carwile Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• One Patient - Global Health Initiative LTD

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  • NPI 1770872020
  Authorized official Same address or phone
• Chicago Musculoskeletal Institute, S.C.

  • Multi-Specialty Clinic/Center
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  • NPI 1528153335
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1205126513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE # 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "312-527-6500",
            "fax_number": "800-281-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST STE 325",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "312-527-6500",
            "fax_number": "800-281-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANKOVICH",
        "first_name": "KARLA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC, NCC, BCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180004490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "CARWILE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• IV League Hydration
• IV Solution & Infusion Centers, LLC
• Bradley A Ivan, PA-C
• Jelena Ivanisevic
• Daniel A Ivankovich, M.D.
• Olga Ivankovich
• Atanas Ivanov, FNP
• Rada Ivanov, M.D.
• Diyana Ivanova, OD
• Euginia Ivanova, MSW, CADC

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.