Active NPI
Douglas R Harsch, LPC
- Professional Counselor
- Palatine, IL
National Provider Identifier
1972005080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.013725
- Practice address
- 625 N North CT Ste 350
Palatine, IL 60067-8160 - Phone
- (224) 801-1700
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.013725 | IL | Primary |
Addresses
Primary practice location
625 N North CT Ste 350
Palatine, IL 60067-8160
Mailing address
625 N North CT Ste 350
Palatine, IL 60067-8160
Phone (224) 801-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2450 Petersen Dr
Cheyenne, WY 82009-9106
3274 Fairways Dr
Mead, CO 80542-9711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.013725 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagles Wings Counseling Center Inc | Current | Accepting new patients |
Locations
625 N North Ct
Ste 350
Palatine, IL 60067
Phone (224) 801-1700
Organizations & group practices 1
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": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1972005080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 N NORTH CT STE 350",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678160",
"telephone_number": "224-801-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N NORTH CT STE 350",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678160",
"telephone_number": "224-801-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARSCH",
"first_name": "DOUGLAS",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.013725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.