Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962012260 Individual Practitioner Female Practitioner

Michaela Blaire Harrison , LCPC

Counselor - Professional • Fairfield, IL

Professional Overview & Biography Verified Profile Summary

Michaela Harrison, LCPC is a registered healthcare professional specializing in Counselor - Professional in Fairfield, IL. Practice services are available at 9 FAWN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9 Fawn Dr

Fairfield, IL 628372800

Telephone 6187181114
Fax 8776810190
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fairfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Fairfield, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180013059

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 180013059

Definition to come...

Secondary Practice Locations

2020 Broadway St Ste A

Mount Vernon, IL 628642973

Phone: 6187181114

215 Se 3rd St

Fairfield, IL 628372160

Phone: 6187181114

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 10, 2025

Registered at 9 FAWN DR, FAIRFIELD, IL 628372800 (Tel: 6187181114)

📍
Updated Business Mailing Address October 10, 2025

Registered at 9 FAWN DR, FAIRFIELD, IL 628372800 (Tel: 6187181114)

NPI Profile Active August 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2020

Registered at 213 NW 10TH ST STE A, FAIRFIELD, IL 628371219 (Tel: 6188424617)

📍
Updated Business Mailing Address August 03, 2020

Registered at 213 NW 10TH ST STE A, FAIRFIELD, IL 628371219 (Tel: 6188424617)

👤
Provider Name / Credentials Updated August 03, 2020

Recorded as MICHAELA HARRISON, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2020

Counselor (License #180013059 in IL)

🟢
Initial NPI Registration & Enumeration August 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962012260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2020
Last Update: October 10, 2025
Sole Proprietor: No

Mailing Address

9 Fawn Dr

Fairfield, IL 628372800

Phone: 6187181114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.