Corie Gayle Carson, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001282 Issued in IL

Practice address

1300 W Belmont Ave
Chicago, IL 60657-3200

Phone

(312) 813-7701

NPI assigned

Oct 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Corie Gayle Rodeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Bridgeway Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Park Ridge, IL
  • NPI 1659039857
  NPD (past)
• Willoughby Center for Behavioral Health, LLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1700257581
  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1225338924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18932 MEADOW CREEK DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489109",
            "telephone_number": "331-998-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "312-813-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "CORIE",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000574",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORIE",
            "last_name": "RODEMAN",
            "middle_name": "GAYLE",
            "prefix": "MISS",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendal Paige Carrow, MD, PHD
• Samantha Lynn Carruthers, PA-C
• Paul Carryon, MD
• Lee Ann Carsello, PHARM.D.
• Asa Derrick Carson
• Kenneth Robert Carson, MD
• Marilynn Renee Carson, LCPC
• Matthew Carson
• Megan Carson, P.A.
• Veronica Carson, STA

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.