MARK HARRIS (NPI# 1083217061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083217061 |
| Entity Type | Individual |
| Full Name | MARK HARRIS |
| Gender | Male |
| Credential | MSW |
| Practice Address | 4235 S King Drive Ave Unit 1 Chicago IL 60653 |
| Practice Telephone | 7082717363 |
| Mailing Address | 21200 S Lagrange Rd # 120 Frankfort IL 60423-2003 |
| Mailing Telephone | 7082717363 |
| Certification Date | 2020-11-16 |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Grouping |
|---|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508286 | Mark Harris | Counselor - Mental Health | 6120 Rutgers St, Amarillo, TX 79109-6615 | 2020-08-11 |
| 1124178546 | Mark Harris | Emergency Medicine | Fisher-Titus Medical Center, 272 Benedict Ave., Norwalk, OH 44857 | 2007-01-10 |
| 1104986496 | Mark Harris | Massage Therapist | 140 N Ocean Ave, Patchogue, NY 11772-2004 | 2006-12-09 |
| 1134691710 | Mark Harris | Registered Nurse | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2018-12-20 |
| 1730459710 | Mark Harris | Counselor - Mental Health | 6197 S Rural Rd Ste 102, Tempe, AZ 85283-2909 | 2012-01-06 |
| 1922145564 | Mark Harris | Counselor | 3701 Lansdowne Dr, Ashland, KY 41102 | 2007-01-31 |
| 1336298900 | Mark Harris | Family Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2007-01-10 |
| 1447363809 | Mark Harris | Anesthesiology | 111 Continental Dr, Suite 412, Newark, DE 19713-4306 | 2006-08-17 |
| 1629023668 | Mark Harris | Emergency Medicine | One Medical Center Boulevard, Crozer Chester Medical Center, Upland, PA 19013 | 2006-05-24 |
| Street Address | 4235 S KING DRIVE AVE UNIT 1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1417384793 | Griffin Orthodontics PC · Ivory Dental Specialist LLC | Dentist - Orthodontics and Dentofacial Orthopedics | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1033187414 | Choong H Koh | Radiology - Body Imaging | 4440 W 95th Street, Oak Lawn, IL 60653 | 2006-03-10 |
| 1992017610 | Frances Sue Ratcliff | Social Worker - Clinical | 4314 S. Cottage Grove Ave, Chicago, IL 60653 | 2010-07-10 |
| 1003406000 | Premier Primary Care and Alternative Medicine | Family Medicine | 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 | 2021-01-22 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy - Community/Retail Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1477751162 | Cuong Huy Luu | General Acute Care Hospital | 1061 E 41st Place #104, Chicago, IL 60653 | 2007-07-05 |
| 1821263740 | Artesian Dental | Clinic/Center - Dental | 227 E. 47th Street, Chicago, IL 60653 | 2008-04-23 |
| 1760946016 | Tmh Wellness Redefined LLC | Social Worker - Clinical | 710 E 47th St Ste 203w, Chicago, IL 60653-0120 | 2019-01-30 |
| 1871184374 | Pamela Charity Phoenix | Counselor - Mental Health | 710 E 47th St Ste 203w, Chicago, IL 60653-0120 | 2021-01-28 |
| Find all in zip 60653 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447820766 | Nicole Glass | Counselor | 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 | 2021-06-29 |
| 1093385569 | Keila Pope | Counselor | 3708 N Ashland Ave, Chicago, IL 60613-5272 | 2021-06-28 |
| 1790352888 | Rebecca Ebben | Counselor | 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 | 2021-06-07 |
| 1912573494 | Elizabeth Quinn Davis | Counselor | 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 | 2021-06-03 |
| 1285209098 | Charlene Mack | Counselor | 47 W Division St Ste 211, Chicago, IL 60610-2954 | 2021-05-24 |
| 1033793757 | Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago | Counselor | 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 | 2021-05-09 |
| 1013590215 | Falechia N Turman | Counselor | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2021-05-04 |
| 1538741780 | Jameelah Brown-Williams | Counselor | 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 | 2021-04-27 |
| 1457937542 | Jamila Ford | Counselor | 5425 W Van Buren St, Chicago, IL 60644-4745 | 2021-03-20 |
| 1124603857 | Liana Ramon | Counselor | 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 | 2021-03-15 |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134799232 | Rachel Harris Kaplan · Rachel Jordan Harris | Student in an Organized Health Care Education/Training Program | 19912 Tivoli Ct, Boca Raton, FL 33434-5616 | 2021-06-30 |
| 1134795222 | Jack Kirschenfeld Harris · Jackson Kirschenfeld Harris | Pharmacist | 100 International Pkwy, Lake Mary, FL 32746-7302 | 2021-05-31 |
| 1801858865 | Moshe Mark Douglas Wexler · Mark D Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/Sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1174111777 | Mark Joshua Santos Quan-Tong · Mark Quan-Tong | Physical Therapist | 2030 Addison Street, Suite 101, Berkeley, CA 94704 | 2021-01-08 |
| 1235706128 | John Mark Albrecht · Mark Albrecht | Student in an Organized Health Care Education/Training Program | 3129 S 1000 E, Salt Lake City, UT 84106-2136 | 2021-06-08 |
| 1114519519 | Abigail Martha Harris Mallory · Abigail Martha Harris | Dietitian, Registered | 211 N 6th Ave, Hailey, ID 83333-8867 | 2021-02-07 |
| 1396333498 | Lauren Camille Jarmie Harris · L. Camille Jarmie Harris | Psychologist - Clinical | 2601 N Stockton Hill Rd Ste E1, Kingman, AZ 86401-4167 | 2021-01-05 |
| 1063088920 | Lashonda Nicole Harris-Bridinger · Lashonda Nicole Harris | Licensed Vocational Nurse | 30865 Highland Vista Cir, Temecula, CA 92591-7264 | 2021-06-01 |
| 1083285373 | Claire Katherine Harris Kramer · Claire Katherine Harris | Social Worker | 1 Vantage Way Ste E130, Nashville, TN 37228-1591 | 2021-07-07 |
| 1376137950 | Aja Harris | Technician - Personal Care Attendant | 5150 Spyglass Hill Dr Apt 274, Las Vegas, NV 89142-2775 | 2021-02-24 |
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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.