Individual provider Active NPI

Kirian Jane Harrison, LCPC

  • Professional Counselor
  • Plainfield, IL
National Provider Identifier
1972260081
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014007 Issued in IL
Practice address
16222 Burgundy Dr
Plainfield, IL 60586-8284
Phone
(253) 249-8931
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 39003291A IN
Professional Counselor 101YP2500X 180.014007 IL Primary

Addresses

Primary practice location

16222 Burgundy Dr
Plainfield, IL 60586-8284

Mailing address

16222 Burgundy Dr
Plainfield, IL 60586-8284
Phone (253) 249-8931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 7, 2024 through Feb 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.014007ILMDProfessional Counselor
39003291AINMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Counseling P.L.L.C Current Accepting new patients

Locations

24012 W Main St
Ste 106
Plainfield, IL 60544
Phone (630) 318-0012

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1972260081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 BURGUNDY DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605868284",
            "telephone_number": "253-249-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 BURGUNDY DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605868284",
            "telephone_number": "253-249-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KIRIAN",
        "middle_name": "JANE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39003291A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.