Mark Harris

Address: 4235 S King Drive Ave Unit 1, Chicago, IL 60653
Phone: 7082717363

Mark Harris (NPI# 1083217061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083217061
Entity Type Individual
Full Name Mark Harris
Credential MSW
Gender Male
Practice Address 4235 S King Drive Ave Unit 1
IL 60653
Practice Telephone 7082717363
Mailing Address 21200 S Lagrange Rd # 120
IL 60423-2003
Mailing Telephone 7082717363
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-11-20
Last Update Date 2020-11-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101Y00000X Counselor Behavioral Health & Social Service Providers IL

Providers with the same name

NPI Name Taxonomy Address Enumeration
1811508286 Mark Harris Counselor 6120 Rutgers St, Amarillo, TX 79109-6615 2020-08-11
1730459710 Mark Harris Counselor 6197 S Rural Rd Ste 102, Tempe, AZ 85283-2909 2012-01-06
1790825842 Mark J Harris Physical Medicine & Rehabilitation 600 W Robbins Rd Ste 300, Boise, ID 83702-4568 2007-02-07
1124178546 Mark Harris Emergency Medicine Fisher-titus Medical Center, 272 Benedict Ave., Norwalk, OH 44857 2007-01-10
1386718500 Mark Steven Harris Pediatrics 1123 South Rd, Bradford, VT 05033-8803 2006-11-20
1902996507 Mark John Harris Anesthesiology U of U Department of Anesthesiology, 1900 East 30 North, Salt Lake City, UT 84132-0001 2006-10-13
1063513034 Mark Robert Harris Family Medicine 20 Mcmaster Boulevard, Suite 1, Kemblesville, PA 19347-0400 2006-09-25
1962500280 Mark William Harris Optometrist 1875 S Willow St, Merrimack Vision Care, Manchester, NH 03103-2363 2006-09-20
1164538252 Mark Lee Harris Dentist 5406 Lincoln Hwy, Gap, PA 17527 2006-08-22
1811905607 Mark Jay Harris Dentist 392 Deer Park Ave, Babylon, NY 11702-2314 2006-08-04
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306432422 Rachel Kardon Counselor 2202 N Lincoln Ave Ste 2, Chicago, IL 60614-4089 2020-12-13
1912503731 Felicia Muhammad Counselor 7320 S Bell Ave, Chicago, IL 60636-3624 2020-12-07
1255934352 Faith Nichole Perrin Counselor 425 W Surf St Apt 210, Chicago, IL 60657-6119 2020-11-19
1750983607 The Center for Affirming Families, Inc Counselor 2311 W 95th St, Chicago, IL 60643-1003 2020-11-14
1366058075 Allyssa Rose Bertram Counselor 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 2020-09-17
1952914707 Tara Ufer Counselor 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 2020-08-30
1104439694 Alisa Williams Counselor 409 E 62nd St, Chicago, IL 60637-6097 2020-08-25
1730791492 Forward Intentions Therapy LLC Counselor 1309 N Ashland Ave, Chicago, IL 60622-8744 2020-08-23
1184232183 Isaac William Samuelson Counselor 3058 W Cortland St Apt 2, Chicago, IL 60647-5075 2020-07-16
1346861242 Hannah Conner Counselor 2756 N Pine Grove Ave Apt 705, Chicago, IL 60614-6167 2020-05-01
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Office Location

Street Address 4235 S KING DRIVE AVE UNIT 1
State IL
Zip Code 60653

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215804 Pamela Ann Brazelton-sykes Counselor Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 2020-04-30
1962915439 Pickup Transport Lllp Non-emergency Medical Transport (VAN) 4418 S. Oakenwald Ave, Chicago, IL 60653 2017-11-07
1245758309 Qi Wellness LLC Case Management 525 E 46th Place, Chicago, IL 60653 2017-09-08
1598202897 Fadesire O Ajuwon Registered Nurse 4218 S King Dr, 1n, Chicago, IL 60653 2017-01-24
1013464619 Roundys Supermarkets Inc Pharmacy 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 2016-09-01
1417384793 Griffin Orthodontics PC Dentist 1040 E 47th Street, Chicago, IL 60653 2013-10-02
1114350659 Carita Dale Johnson Pharmacist 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 2013-08-20
1245677848 Mercy Diagnostic and Treatment Center Clinic/Center 3755 S Cottage Grove, Chicago, IL 60653 2013-05-23
1952745937 Mercy Community Pharmacy At Oakwood Shores Pharmacy 3753 S. Cottage Grove, Chicago, IL 60653 2013-04-22
1386952315 Jami S Little Developmental Therapist 617 East 41st, Chicago, IL 60653 2010-09-24
Find all providers in zip 60653


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Zip Code 60653

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Dataset Information

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.