Active NPI
Rodney Harris
- Mental Health Counselor
- Homewood, IL
National Provider Identifier
1720136773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 18220 Harwood Ave
Homewood, IL 60430-2143 - Phone
- (708) 395-6083
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
18220 Harwood Ave
Homewood, IL 60430-2143
Mailing address
18220 Harwood Ave Ste 5
Homewood, IL 60430-2151
Phone (773) 395-6083
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connected Living Counseling & Therapeutic Services, LLC | Mental Health | Current | Accepting new patients |
| Connected Living Counseling & Therapeutic Services, LLC | Mental Health | Current | Accepting new patients |
| Psychology Center P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Homewood, IL
- NPI 1336611136
-
- Adolescent and Children Mental Health Clinic/Center
- Homewood, IL
- NPI 1871310789
-
- Clinical Psychologist
- Chicago, IL
- NPI 1396735361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1720136773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18220 HARWOOD AVE STE 5",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302151",
"telephone_number": "773-395-6083",
"fax_number": "708-844-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18220 HARWOOD AVE",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302143",
"telephone_number": "708-395-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "RODNEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.