David Carr

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209027877 Issued in IL

Practice address

2960 Chartres St
La Salle, IL 61301-1031

Phone

(815) 224-1610

NPI assigned

Nov 17, 2021

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, IL2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Central Behavioral Health Systems, IncGroup PAC ID 5294625208, 3 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.

• North Central Behavioral Health Systems, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Salle, IL
  • NPI 1124044318

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Axess Family Services Inc

  dba AxessPointe Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Akron, OH
  • NPI 1548214935

  Single Specialty

  Medicare reassignment NPD
• Highland Springs Physician Group, LLC

  • Psychiatry Physician
  • Highland Hills, OH
  • NPI 1316682800

  Single Specialty

  Medicare reassignment NPD
• Michael J Oros, M.D.

  • Addiction Psychiatry Physician
  • North Canton, OH
  • NPI 1720278914
  Medicare reassignment
• Axess Family Services Inc

  dba AxessPointe Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ravenna, OH
  • NPI 1437944923
  NPD
• Axess Family Services Inc

  dba AxessPointe Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ravenna, OH
  • NPI 1609662048
  NPD
• Highland Springs Physician Group, LLC

  • Psychiatry Physician
  • Solon, OH
  • NPI 1598402117
  NPD

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1417614181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 BEAVER TRL APT D",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CHARTRES ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613011031",
            "telephone_number": "815-224-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443081529",
            "country_code": "US",
            "telephone_number": "330-253-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "2022013042",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027877",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.430412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrdn@outlook.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3413 Beaver Trl Apt D",
            "city": "Aurora",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442028523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret A Brooks, LCPC
• Jennifer Lynn Burwell, OTR/L
• Ricardo Joseph Calderon, M.D.
• Elizabeth C Campbell, LSW
• Bree N Carlson, MS. CF-SLP
• Stephanie Cartolano, LCPC
• Catholic Charities of the Diocese of Peoria
• City of Lasalle
• Kelley B Conley, MSW
• Cornerstone Counseling

• Psychiatric/Mental Health Nurse Practitioner in La Salle, IL
• Providers in La Salle, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.