Active NPI
Shawna Pomaika'Iokalani Corbitt
- Mental Health Counselor
- Evanston, IL
National Provider Identifier
1205668795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 800 Austin St.
West Tower, Suite 312
Evanston, IL 60202 - Phone
- (847) 868-8664
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
800 Austin St.
West Tower, Suite 312
Evanston, IL 60202
Mailing address
800 Austin St. West Tower, Suite 312
Suite 312
Evanston, IL 60202
Phone (847) 868-8664
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housing Options for the Mentally Ill in Evanston, Inc | Current | Accepting new patients |
Locations
800 Austin St
Ste 312
Evanston, IL 60202
Phone (847) 440-6592
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, IL
- NPI 1447200191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1205668795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 AUSTIN ST. WEST TOWER, SUITE 312",
"address_2": "SUITE 312",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60202",
"telephone_number": "847-868-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 AUSTIN ST.",
"address_2": "WEST TOWER, SUITE 312",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60202",
"telephone_number": "847-868-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBITT",
"first_name": "SHAWNA",
"middle_name": "POMAIKA'IOKALANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.