Individual provider Active NPI

Douglas R Harsch, LPC

  • Professional Counselor
  • Palatine, IL
National Provider Identifier
1972005080
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.013725 Issued in IL
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

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519000907 CO Practitioner - Mental Health Counselor 1153890231 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
178.013725ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.