Samantha Christine Harris

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37727 Issued in IL

Practice address

41 W 400 Silver Glen Rd.
St. Charles, IL 60175

Phone

(331) 901-4225

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Silver Glen Road Opco LLC

  • Substance Abuse Rehabilitation Facility
  • St Charles, IL
  • NPI 1578187886
  NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1659118453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 187TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383565",
            "telephone_number": "773-766-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W 400 SILVER GLEN RD.",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "331-901-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "37727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Harms
• Withman H Haro, M.D.
• Margaret Clare Harper
• Charles Edward Harrier, MSED ATC
• James William Harris
• Casey Harrison
• Ryan Hart, RBT
• Lauren Elizabeth Hartford, LCPC ALMFT
• Patrick Hartney, LPC
• Christy Marie Harvey, MD

• Addiction (Substance Use Disorder) Counselor in St. Charles, IL
• Providers in St. Charles, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.