Individual provider Active NPI

Tionna Harris, LCSW

  • Clinical Social Worker
  • Schererville, IN
National Provider Identifier
1962035345
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008625A Issued in IN
Practice address
7403 Cline Ave
Schererville, IN 46375-2645
Phone
(219) 746-6477
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 34008625A
Clinical Social Worker 1041C0700X 34008625A IN Primary

Addresses

Primary practice location

7403 Cline Ave
Schererville, IN 46375-2645

Mailing address

2 Willow Rd
Matteson, IL 60443-1096
Phone (708) 513-8170

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
34008625AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Individual and Family Therapy PLLC Current Accepting new patients
Elevation Individual and Family Therapy PLLC Clinical CurrentSince Apr 23, 2023 Accepting new patients
Elevation Individual and Family Therapy, LLC Mental Health CurrentSince Aug 1, 2020 Accepting new patients

Locations

19150 Kedzie Ave
Ste 201
Homewood, IL 60430
Phone (708) 300-8864

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1962035345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILLOW RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431096",
            "telephone_number": "708-513-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 CLINE AVE",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752645",
            "telephone_number": "219-746-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIONNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "34008625A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008625A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.