Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlton Edward Ferguson, CADC31124

Individual provider Professional Counselor · NPI 1407677941

Carlton Edward Ferguson, CADC31124 is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
9

Practice location Address checks out

614 W Marquette Rd Apt 1A
Chicago, IL 60621-2765
Phone: (312) 343-8952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 31124 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 31124 (IL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 31124 (IL)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 31124 (IL)
Community Health Worker Taxonomy 172V00000X · Licence 31124 (IL)
Peer Specialist Taxonomy 175T00000X · Licence 31124 (IL)
Exclusive Provider Organization Taxonomy 302F00000X · Licence 31124 (IL)
Point of Service Taxonomy 305S00000X · Licence 31124 (IL)
Prevention Professional Taxonomy 405300000X · Licence 31124 (IL)

Record details

NPI number1407677941
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC31124
Sole proprietorYes
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 19, 2024
Certification dateOctober 19, 2024

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