1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Counselor
  6. NPI Profile

CORRY PAYNE EISENBERG LCPC
NPI 1962949180
Counselor - Mental Health in Chicago, IL

Active since January 25, 2017PECOS Enrolled
3629 S HERMITAGE AVE, APT 1, CHICAGO, IL 60609(503) 577-4378 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2019, Jan 25, 2017 (2 updates tracked since 2017).

About Corry Payne Eisenberg Lcpc NPPES

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

CORRY PAYNE EISENBERG LCPC (NPI 1962949180) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180.012222) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962949180
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORRY PAYNE EISENBERGCredential: LCPC
Location Address3629 S HERMITAGE AVE, APT 1Chicago, IL 60609-1220
Mailing Address3629 S Hermitage Ave, Apt 1Chicago, IL 60609-1220 · (503) 577-4378
Phone(503) 577-4378
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 25, 2017
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
✔ NPI 1962949180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IL · 180.012222✔ Licensed in IL · 178011197
3629 S HERMITAGE AVE, Chicago, IL 60609
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corry Payne Eisenberg Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163957424
PECOS Enrollment IDI20241122001828
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Corry Eisenberg's NPI number?

The NPI number for Corry Eisenberg is 1962949180. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Corry Eisenberg located?

Corry Eisenberg practices at 3629 S Hermitage Ave Apt 1, Chicago, IL 60609. The listed phone number is (503) 577-4378.

What is Corry Eisenberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Corry Eisenberg enrolled in Medicare?

Yes. Corry Eisenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Corry Eisenberg was last updated on May 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.