Rhonda K Harris

Key facts

NPI

1295955029

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

Practice address

121 South Madison Street
Mental Health Centers of Western Illinois
Pittsfield, IL 62363

Phone

(217) 285-4436

Fax

(217) 285-2804

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Mental Health Centers of Western Illinois Mental Health Clinic/Center (Including Community Mental Health Center) · Mt Sterling, IL · NPI 1558451716
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295955029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SOUTH CONGRESS",
            "city": "PERRY",
            "state": "IL",
            "postal_code": "62362",
            "telephone_number": "217-285-4436",
            "fax_number": "217-285-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOUTH MADISON STREET",
            "address_2": "MENTAL HEALTH CENTERS OF WESTERN ILLINOIS",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "62363",
            "telephone_number": "217-285-4436",
            "fax_number": "217-285-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RHONDA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, IL

• Rachel E. Hancock, CNP
• Hannibal Regional Healthcare System, Inc.
• Hannibal Regional Hospital
• Margaret Hanzel, R.PH.
• Mary R Harris, MA, LCPC, NCC
• Kimberly Ann Harter
• Heartland Chiropractic LTD
• Tiffany Henry
• Heidi Elizabeth Hill, PT
• Caitlin M Holland, PHARMD

All providers in Pittsfield, IL · Social Worker in Illinois