CORLISS IVY LCPC
NPI 1811584261
Counselor - Professional in Zion, IL

Active since December 30, 2020
2520 ELISHA AVE, ZION, IL 60099(224) 707-0146 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 9, 2021, Dec 30, 2020 (2 updates tracked since 2020).

About Corliss Ivy Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORLISS IVY LCPC (NPI 1811584261) is an individual professional provider in Zion, Illinois, licensed in Illinois (180.009200) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1811584261
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCORLISS IVYCredential: LCPC
Location Address2520 ELISHA AVEZion, IL 60099
Mailing Address206 Cedar Ave Unit 664Lake Villa, IL 60046-4629 · (847) 912-4991
Sole ProprietorYes
Enumeration DateDecember 30, 2020
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
NPI 1811584261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.009200
2520 ELISHA AVE, Zion, IL 60099

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2520 ELISHA AVE
ZION, IL 60099
Speech-Language Pathologist
2520 ELISHA AVE
ZION, IL 60099
Specialist/Technologist, Other (Surgical Assistant)
2520 ELISHA AVE
ZION, IL 60099
Radiology (Vascular & Interventional Radiology)
2520 ELISHA AVE
ZION, IL 60099
Dietitian, Registered
2520 ELISHA AVE
ZION, IL 60099
Physician Assistant
2520 ELISHA AVE
ZION, IL 60099
Nurse Practitioner
2520 ELISHA AVE
ZION, IL 60099
Surgery (Plastic and Reconstructive Surgery)
2520 ELISHA AVE
ZION, IL 60099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corliss Ivy's NPI number?

The NPI number for Corliss Ivy is 1811584261. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Corliss Ivy located?

Corliss Ivy practices at 2520 Elisha Ave, Zion, IL 60099. The listed phone number is (224) 707-0146.

What is Corliss Ivy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Corliss Ivy was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.