Carita Y Adams, LCPC, CADC

Individual provider Active NPI Mental Health Counselor · Richton Park, IL

NPI 1760639694 · NPPES record last updated Dec 7, 2021

Key facts

NPI
1760639694
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
180008592 (IL)
Practice address
4137 Sauk Trail Suite 119
Richton Park, IL 60471-1253
Phone
(708) 665-7915
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180008592ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Urban Consultation Systems Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carita.adams.p1@direct.hcenter.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180008592 IL Yes

Addresses

Primary practice location

4137 Sauk Trail Suite 119
Richton Park, IL 60471-1253

Mailing address

4137 Sauk TRL Ste 119
Richton Park, IL 60471-1253
Phone (708) 852-4422

Other providers in Richton Park, IL

All providers in Richton Park, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.