Carla Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149.029197 Issued in IL

Practice address

9319 S Albany Ave
Evergreen Park, IL 60805-2421

Phone

(630) 750-1471

NPI assigned

Mar 10, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1801742911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 S ALBANY AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052421",
            "telephone_number": "630-750-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 S ALBANY AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052421",
            "telephone_number": "630-750-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.029197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Damper, DT
• James Danziger, M.D.
• Pradeep John Darsipudi
• Datmcorp
• Steven Robert Daube, DO
• Karien Dean
• Kaiisha Dear Sweet
• Paul Delbusto, M.D.
• Robert Deleon, DPM
• Anthony Joseph Demma, MHS CCC-SLP/L

• Mental Health Counselor in Evergreen Park, IL
• Providers in Evergreen 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 Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.