Cayama Carroll, MA., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180010017 Issued in IL

Practice address

67 E Madison St
Suite 1421
Chicago, IL 60603-3014

Phone

(773) 544-6295

NPI assigned

Mar 11, 2008

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

Other names 1

• Mrs. Cayama Ivester Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Behavioral Health Specialists (de), P.a.

  • Neurology Physician
  • Sugar Land, TX
  • NPI 1831619410

  Professional

  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1902076417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 S SOUTH SHORE DR",
            "address_2": "#706",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492700",
            "telephone_number": "772-544-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E MADISON ST",
            "address_2": "SUITE 1421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033014",
            "telephone_number": "773-544-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CAYAMA",
        "name_prefix": "Ms.",
        "credential": "MA., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAYAMA",
            "last_name": "IVESTER",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Breanne Carro, M.S., CCC-SLP
• Carroll Cares Therapy Center
• Denise Ann Carroll-Burke
• Allison Jane Carroll, PHD
• Caitlin Carroll, DPT
• Elizabeth Eleanor Carroll, MD
• Emily Barbara Carroll, M.A., L.C.S.W.
• Erin Carroll, LPC
• Jodi Lee Carroll, MS OTR/L
• Julia Carroll, OTR/L

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.