Heather Lea Corwin, PHD, LPC, RME, MFA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.015649 Issued in IL

Practice address

Blackbird Behavioral Health
715 Lake Street, 4TH Floor
Oak Park, IL 60301

Phone

(708) 209-8987

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Garden Health Group LLCGroup PAC ID 8325558786, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Fine Arts, Doctor of Philosophy

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.

• Garden Health Group LLC

  • Clinical Psychologist
  • River Forest, IL
  • NPI 1639975881

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Lake Behavioral Health Associates, LLC

  • Clinical Psychologist
  • River Forest, IL
  • NPI 1467037754
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1457982332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N TAYLOR AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021147",
            "telephone_number": "818-298-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLACKBIRD BEHAVIORAL HEALTH",
            "address_2": "715 LAKE STREET, 4TH FLOOR",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "708-209-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "HEATHER",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, RME, MFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Nicole Corrado, APRN, CNM
• Meagan M Corriveau, PT,DPT
• Joseph J Cortese, LCSW
• Jackeline Cortez
• Patricia Cortez
• Marques Cosby Sr., LCSW
• Chanel Mulan Cosey
• Jennifer Costello, LCSW, RD
• Sarah Katherine Costianis, DC
• Daniel Lawrence Cotter, MD

• Mental Health Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.