Active NPI
Tristana Renee Harvey, PHD, NCC, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1427374065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC 003325
- Practice address
- 25 E Washington St
Suite 1602
Chicago, IL 60602-1708 - Phone
- (814) 321-1238
- Fax
- (866) 305-1774
- NPI assigned
- Apr 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC 003325 | PA | Primary |
| Professional Counselor | 101YP2500X | 178.006702 | IL |
Addresses
Primary practice location
25 E Washington St
Suite 1602
Chicago, IL 60602-1708
Mailing address
PO Box 365
Bellefonte, PA 16823-0365
Phone (814) 321-1238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.006702 | IL | MD | Professional Counselor |
| PC 003325 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1427374065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168230365",
"telephone_number": "814-321-1238",
"fax_number": "866-305-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"address_2": "SUITE 1602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "814-321-1238",
"fax_number": "866-305-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "TRISTANA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PHD, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC 003325",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.006702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.