Corinn Shirelle Ellebb, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

19900 Governors Dr Ste 201
Olympia Fields, IL 60461-1061

Phone

(708) 329-8871

NPI assigned

Oct 14, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Holistic Refinement Interventions

  • Professional Counselor
  • Olympia Fields, IL
  • NPI 1962102483
  NPD

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1942020169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 EMERALD DR",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601409112",
            "telephone_number": "224-760-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 201",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611061",
            "telephone_number": "708-329-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEBB",
        "first_name": "CORINN",
        "middle_name": "SHIRELLE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad El-Rifai, MD
• Mahynour El-Shikh
• D Frank Elam, MSW
• Khalid Gamal Hamed Mohammed Elharrif, MD
• Hunter Jordan Ellard, DO
• Amanda Marie Ellison
• Benjamin David Ellison, DO
• Ahmed Elnawawy
• Emergency Care & Heallth Organization, LTD
• Emergency Medicine Physicians of Cook County LLC

• Professional Counselor in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.