Individual provider Active NPI

Carleigh Dimond Joseph

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1326739103
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.021051 Issued in IL
Practice address
929 W Belmont Ave
Chicago, IL 60657-4408
Phone
(312) 530-0323
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.021051 IL Primary

Addresses

Primary practice location

929 W Belmont Ave
Chicago, IL 60657-4408

Mailing address

2625 N Clark St Apt 1205
Chicago, IL 60614-1858
Phone (708) 828-8953

Other practice location 1

3665 N Broadway St
Chicago, IL 60613-4567
Phone (773) 496-4433

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

LicenseStateTypeSpecialty
178.021051ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Clinic PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

929 W Belmont Ave
Chicago, IL 60657
Phone (312) 530-0323

3665 N Broadway St
Chicago, IL 60613
Phone (773) 496-4433

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1326739103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N CLARK ST APT 1205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141858",
            "telephone_number": "708-828-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574408",
            "telephone_number": "312-530-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3665 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606134567",
            "country_code": "US",
            "telephone_number": "773-496-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "CARLEIGH",
        "middle_name": "DIMOND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.021051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.