Khara Jelynn Harper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024129 Issued in IL

Practice address

455 Pebble Beach CT
University Park, IL 60484-2717

Phone

(708) 743-3839

NPI assigned

Jan 6, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Elevation Individual and Family Therapy, LLC

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1760091235
  NPD (past)

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1114688652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PEBBLE BEACH CT",
            "city": "UNIVERSITY PARK",
            "state": "IL",
            "postal_code": "604842717",
            "telephone_number": "708-743-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PEBBLE BEACH CT",
            "city": "UNIVERSITY PARK",
            "state": "IL",
            "postal_code": "604842717",
            "telephone_number": "708-743-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KHARA",
        "middle_name": "JELYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catrena Craig, ED.D.
• Meghan Elizabeth Faloona, ATC
• Theresia Fonge
• Lydia Fox
• Terrianna Carolyn Givan
• Maurice R Hill, M.A , LPC , NCC
• Julia M Johnson, PMHNP-BC
• Justin Aron Keller
• Colin D Kirchner, LPC
• Kayla Knox

• Clinical Social Worker in University Park, IL
• Providers in University Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.