Carla Carter, ED.D., LPC, CC-AASP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

9416 S Harding Ave
Evergreen Park, IL 60805-1919

Phone

(708) 267-7700

NPI assigned

Nov 25, 2013

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

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cognitive Clinic P CGroup PAC ID 9032653357, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Cognitive Clinic P C

  • Professional Counselor
  • Palos Hills, IL
  • NPI 1770936585
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1437589660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 S HARDING AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051919",
            "telephone_number": "708-267-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 S HARDING AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051919",
            "telephone_number": "708-267-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CARLA",
        "credential": "ED.D., LPC, CC-AASP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Helen Carey
• John Carey
• Michael R Carli, DPT
• Matthew Thomas Carlson, DPT, OCS, COMT
• Benjamin Carney, M.D.
• Clifford Castillo, RPH
• Michelle Catron, MSW
• Cedar Court Counseling Center
• Celestial Home Medical Supply and Equipment Corporation
• Center for Self-Actualization

• Professional Counselor in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.