Rebecca Pauline Harrison, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180010584 Issued in IL

Practice address

2104 Windsor PL Ste a
Champaign, IL 61820-7773

Phone

(217) 552-1058

NPI assigned

May 22, 2018

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Pauline Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catalyst Counseling Center LLC

  dba C3

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1033770243
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1114418456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N POSSUM TRL",
            "city": "VILLA GROVE",
            "state": "IL",
            "postal_code": "619569503",
            "telephone_number": "217-372-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WINDSOR PL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207773",
            "telephone_number": "217-552-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "REBECCA",
        "middle_name": "PAULINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WILLIAMS",
            "middle_name": "PAULINE",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Harris, MS
• Najee Harris, DMD
• Page M McIntyre Harris
• Imani Taliah Harrison, MA, LCPC
• Kendell Harrison
• Prudence Hartwell, M.D.
• Chad R Hartz
• Keisha Passion Hasbrouck, LSW
• Katlyn Hasprey, DPT
• Tamica Nicole Hatchett, LCSW

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.