Individual provider Active NPI

Emily Harrell, LMFT, LPC

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1598991580
Registry record updated Dec 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000773 Issued in IL
Practice address
875 N Michigan Ave
Suite 3100
Chicago, IL 60611-1803
Phone
(312) 813-7701
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.005553 IL
Marriage & Family Therapist 106H00000X 166.000773 IL Primary

Addresses

Primary practice location

875 N Michigan Ave
Suite 3100
Chicago, IL 60611-1803

Mailing address

411 W Fullerton Pkwy
Apt. 301W
Chicago, IL 60614-2870
Phone (312) 813-7700

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

State licenses

LicenseStateTypeSpecialty
178.005553ILMDMental Health Counselor
166.000773ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260057600000",
    "number": "1598991580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W FULLERTON PKWY",
            "address_2": "APT. 301W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142870",
            "telephone_number": "312-813-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE",
            "address_2": "SUITE 3100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111803",
            "telephone_number": "312-813-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "EMILY",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.005553",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000773",
            "primary": true
        }
    ],
    "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 Dec 6, 2009; 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.