CORRY PAYNE EISENBERG LCPC
NPI 1962949180
Counselor - Mental Health in Chicago, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corry Payne Eisenberg Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Corry Eisenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aurora, IL 60504
- Reassigned Medicare billing, Illinois enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Corry Eisenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corry Eisenberg reassigns Medicare benefits to Holistic Health And Behavioral Services Inc (Aurora, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Corry Eisenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Corry Eisenberg was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Corry Payne Eisenberg, LCPC · NPI 1962949180
Mental Health provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since January 25, 2017.
## Identity
- **NPI:** 1962949180 (Entity type: Individual)
- **Enumerated:** January 25, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180.012222 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3629 S HERMITAGE AVE, APT 1, Chicago, IL 60609-1220
- **Phone:** (503) 577-4378
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Holistic Health And Behavioral Services Inc (NPI 1457959140, Aurora, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962949180) · Data from the CMS NPPES public registry.