Active NPI
Farah Harris, MA, LCPC
- Mental Health Counselor
- Flossmoor, IL
National Provider Identifier
1629411244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180010817
- Practice address
- 19624 Governors Hwy Ste 4
Flossmoor, IL 60422-2086 - Phone
- (708) 866-0208
- NPI assigned
- Apr 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180010817 | IL | Primary |
Addresses
Primary practice location
19624 Governors Hwy Ste 4
Flossmoor, IL 60422-2086
Mailing address
PO Box 816
Flossmoor, IL 60422-0816
Phone (708) 866-0208
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180010817 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1629411244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 816",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604220816",
"telephone_number": "708-866-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY STE 4",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222086",
"telephone_number": "708-866-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "FARAH",
"name_prefix": "Mrs.",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180010817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.