Carrie Elizabeth Vodnik, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.007116 Issued in IL

Practice address

3033 W Jefferson St Ste 107
Joliet, IL 60435-5298

Phone

(815) 773-0772

NPI assigned

Feb 6, 2013

Last updated

Feb 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Carrie Elizabeth Fatz Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Center for Mental Health IncGroup PAC ID 2365447232, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Center for Mental Health Inc

  • Professional Counselor
  • Joliet, IL
  • NPI 1548274863
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1396084646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CONCORD DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163123",
            "telephone_number": "708-373-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST STE 107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355298",
            "telephone_number": "815-773-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODNIK",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.007116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "FATZ",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vivienne a Oskvarek LTD (Psychological Wellness Practice, Ltd.)
• VJH LLC Dba Comfort Keepers 777
• Amber Marie Vladika, NP
• Vna Health Care
• Vna Health Care
• George Curtis Von Behren
• Voss Health Alliance
• Valerie L Voss, MD
• Steve Vulich, DO
• Salman Abdul Waheed, M.D.

• Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.