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 Identifier (NPI) | 1083217061 |
| Entity Type | Individual |
| Full Name | Mark Harris |
| Credential | MSW |
| Gender | Male |
| 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 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | IL |
| 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 |
| Find all providers with the same name | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in CHICAGO | ||||
| Street Address |
4235 S KING DRIVE AVE UNIT 1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653 |
| 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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| 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.