Individual provider Active NPI

Benjamin G Harris, MA, LCPC

  • Professional Counselor
  • Dekalb, IL
National Provider Identifier
1811122963
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007751 Issued in IL
Practice address
3251 Commerce Dr Ste C
Dekalb, IL 60115-7908
Phone
(901) 205-9395
NPI assigned
May 19, 2009
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBH-LCPC-LIC-11610 MT
Professional Counselor 101YP2500X 180007751 IL Primary

Addresses

Primary practice location

3251 Commerce Dr Ste C
Dekalb, IL 60115-7908

Mailing address

2855 Cornwall LN
Geneva, IL 60134-4660
Phone (815) 761-4257

Other practice location 1

1100 Jorie Blvd Ste 132
Oak Brook, IL 60523
Phone (630) 522-3124

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
I20251209004062 IL Practitioner - Mental Health Counselor 5991972523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
New Hope Counseling Center LTDGroup PAC ID 4789005976, 6 clinicians

Practice addresses (Care Compare)

12555 Farm Hill Dr
Suite 500
Huntley, IL 60142-7723
Phone (901) 205-9395

27 Grant St
Crystal Lake, IL 60014-4372
Phone (901) 205-9395

3251 Commerce Dr
Suite C
Dekalb, IL 60115-7908
Phone (901) 205-9395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180007751ILMDProfessional Counselor
BBH-LCPC-LIC-11610MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling Center LTD CurrentSince Oct 16, 2025 Accepting new patients
The Anxiety Treatment Center - Western Suburbs, LLC Professional Current Accepting new patients
Blair Counseling and Mediation PC Professional PastSince Jan 19, 2025 Accepting new patients

Locations

27 Grant St
Crystal Lake, IL 60014
Phone (815) 276-3947

3251 Commerce Dr
Ste C
DeKalb, IL 60115
Phone (901) 205-9395

12555 Farm Hill Dr
Ste 500
Huntley, IL 60142
Phone (901) 205-9395

1100 Jorie Blvd
Ste 132
Oak Brook, IL 60523
Phone (630) 522-3124

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1811122963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CORNWALL LN",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344660",
            "telephone_number": "815-761-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 COMMERCE DR STE C",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601157908",
            "telephone_number": "901-205-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Jorie Blvd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "60523",
            "country_code": "US",
            "telephone_number": "630-522-3124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BENJAMIN",
        "middle_name": "G",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-11610",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.