Carrie Corlew-Thayer, LPC, CADC-M, QMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401011318 Issued in MI

Practice address

209 E Washington Ave Ste 330
Jackson, MI 49201-2399

Phone

(810) 515-5269

NPI assigned

May 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1275767600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 N BRAY RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE STE 330",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012399",
            "telephone_number": "810-515-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEW-THAYER",
        "first_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, CADC-M, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "1-04516",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011318",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Coppage, RN
• Sandra Corbin, LMSW
• Heather N Corcoran, CRNA
• Taylor Cordes
• Michael David Corey, H.I.T
• Shawn Ann Corlew-Vanheyningen, LPC
• Andrea Corley
• Christopher Coronel
• Alexandra Elizabeth Corrado-Kittel, DO
• Jennifer M Cortright, PTA

• Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.