Active NPI
Carol A Joyce
- Professional Counselor
- Northbrook, IL
National Provider Identifier
1265164503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178005037
- Practice address
- 155 Revere Dr Ste 11
Northbrook, IL 60062-1558 - Phone
- (888) 726-7170
- NPI assigned
- Jun 27, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178005037 | IL | Primary |
Addresses
Primary practice location
155 Revere Dr Ste 11
Northbrook, IL 60062-1558
Mailing address
2300 Windsor Mall Apt 2G
Park Ridge, IL 60068-3625
Phone (708) 417-9619
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 |
|---|---|---|---|
| 178005037 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1265164503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WINDSOR MALL APT 2G",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683625",
"telephone_number": "708-417-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 REVERE DR STE 11",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621558",
"telephone_number": "888-726-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYCE",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178005037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.