Individual provider Active NPI

Audra Marie Rowe

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1508371378
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010984 Issued in IL
Practice address
11740 S Western Ave
Chicago, IL 60643-4732
Phone
(312) 241-3761
Fax
(773) 881-3379
NPI assigned
Dec 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180010894 IL
Professional Counselor 101YP2500X 180010984 IL Primary

Addresses

Primary practice location

11740 S Western Ave
Chicago, IL 60643-4732

Mailing address

11740 S Western Ave
Chicago, IL 60643-4732
Phone (312) 241-3761

Other practice location 1

1649 W 103rd St
Chicago, IL 60643-2818
Phone (312) 241-3761

Other names 1

  • Dr. Audra Marie Harris Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501000625 IL Practitioner - Mental Health Counselor 3072953546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Counseling and Consulting GroupGroup PAC ID 0345680815, 2 clinicians

Practice addresses (Care Compare)

11740 S Western Ave
Chicago, IL 60643-4732
Phone (312) 241-3761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180010894ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Counseling and Consulting Group Professional CurrentSince Feb 27, 2024 Accepting new patients
Solutions Counseling and Consulting Group Past Accepting new patients
Solutions Counseling and Consulting Group Past Accepting new patients

Locations

11740 S Western Ave
Ste 3
Chicago, IL 60643

11740 S Western Ave
Chicago, IL 60643
Phone (312) 241-3761

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1508371378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434732",
            "telephone_number": "312-241-3761",
            "fax_number": "773-840-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434732",
            "telephone_number": "312-241-3761",
            "fax_number": "773-881-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1649 W 103rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606432818",
            "country_code": "US",
            "telephone_number": "312-241-3761",
            "fax_number": "773-840-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "AUDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010894",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDRA",
            "last_name": "HARRIS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.