Individual provider Active NPI

Virginia A Harren

  • Mental Health Counselor
  • Lake Villa, IL
National Provider Identifier
1578852034
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.007771 Issued in IL
Practice address
400 W Grand Ave
Lake Villa, IL 60046
Phone
(847) 356-3322
Fax
(847) 356-2360
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.007771 IL Primary

Addresses

Primary practice location

400 W Grand Ave
Lake Villa, IL 60046

Mailing address

420 Grand Ave.
Lake Villa, IL 60046
Phone (847) 356-3322

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
I20240229004257 IL Practitioner - Mental Health Counselor 1951746890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Clinic Arlington Heights LLCGroup PAC ID 0840558094, 29 clinicians

Practice addresses (Care Compare)

2101 S Arlington Heights Rd
Suite 116
Arlington Heights, IL 60005-4142
Phone (847) 666-5339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007771ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Clinic Arlington Heights, LLC CurrentSince Jan 17, 2024 Accepting new patients

Locations

2101 S Arlington Heights Rd
Ste 116
Arlington Heights, IL 60005
Phone (847) 666-5339

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.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1578852034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GRAND AVE.",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "60046",
            "telephone_number": "847-356-3322",
            "fax_number": "847-356-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W GRAND AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "60046",
            "telephone_number": "847-356-3322",
            "fax_number": "847-356-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARREN",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

Verify at the official NPI Registry.