Organization Active NPI

Jeannine Harris Counseling Services, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1366940868
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017907 Issued in IL
Legal business name
JEANNINE HARRIS COUNSELING SERVICES, LLC
Practice address
10540 S Western Ave
Chicago, IL 60643-2536
Phone
(708) 940-2847
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Jeannine Harris, LCSWNPI 1861852345
Title
Director
Phone
(708) 774-1929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.017907 IL Primary

Addresses

Primary practice location

10540 S Western Ave
Chicago, IL 60643-2536

Mailing address

PO Box 439465
Chicago, IL 60643-9465
Phone (708) 774-1929

Other names 1

  • Positive Solutions Counseling Service Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1366940868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439465",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606439465",
            "telephone_number": "708-774-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432536",
            "telephone_number": "708-940-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNINE HARRIS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-774-1929",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Solutions Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Positive Solutions Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.