DR. HEATHER LEA CORWIN (NPI# 1457982332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457982332 |
| Entity Type | Individual |
| Full Name | DR. HEATHER LEA CORWIN |
| Credential | PHD, LPC, RME, MFA |
| Practice Address |
Blackbird Behavioral Health 715 Lake Street, 4th Floor Oak Park IL 60301 |
| Mailing Address |
1219 N Taylor Ave Oak Park IL 60302-1147 |
| Practice Telephone | 7082098987 |
| Mailing Telephone | 8182981828 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.015649 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558768630 | Heather Kathleen Corwin | Psychologist | 400 Maple Street, Elmwood Place, OH 45216 | 2014-12-04 |
| 1821698572 | Heather Morris Corwin | Pharmacist | 315 Furr St, South Hill, VA 23970-9500 | 2020-10-30 |
| Street Address |
BLACKBIRD BEHAVIORAL HEALTH 715 LAKE STREET, 4TH FLOOR |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| 1316236987 | Kristin M Baier | Family Medicine | 932 Lake St, Oak Park, IL 60301 | 2011-04-04 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739356 | Stacey Mandel Garfinkel | Counselor | 6128 Bryndale Ave, Oak Park, CA 91377-5846 | 2020-01-24 |
| 1609412956 | Mindful Consultation Inc. | Counselor | 1010 Lake St Ste 502a, Oak Park, IL 60301-1135 | 2019-11-21 |
| 1356824692 | Maxie Moses | Counselor | 1000 S Austin Blvd, Oak Park, IL 60304-2335 | 2018-09-12 |
| 1982128971 | Tn Harrison Therapeutics | Counselor | 1331 North Harlem Ave, 2f, Oak Park, IL 60302-6030 | 2017-08-01 |
| 1346772795 | Ashley Pinto | Counselor | 1101 Lake St Ste 404, Oak Park, IL 60301-1048 | 2017-04-03 |
| 1053778605 | Tone Sirbas | Counselor | 855 Lake St, Apt 412, Oak Park, IL 60301-1342 | 2016-01-26 |
| 1104292127 | Willie Mccullough | Counselor | 23751 Coyle St, Oak Park, MI 48237-1929 | 2015-08-13 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1821431628 | Your Choice | Counselor | 105 N Marion St, Suite 1, Oak Park, IL 60301-1075 | 2013-04-10 |
| 1134497761 | Robin T Anderson | Counselor | 10261 Corning St, Oak Park, MI 48237-3915 | 2011-12-10 |
| Find all providers in OAK PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.