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Active NPI 1942537477 Individual Practitioner Male Practitioner

Mikkal Harris , LCPC

Counselor - Professional • Matteson, IL

Professional Overview & Biography Verified Profile Summary

Mikkal Harris, LCPC is a registered healthcare professional specializing in Counselor - Professional in Matteson, IL. Practice services are available at 4749 LINCOLN MALL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4749 Lincoln Mall Dr
#202

Matteson, IL 604432348

Telephone 7088338887
Fax 7088270555
Associated Practice Facility / Clinic
🏢 Athletico Ltd Facility NPI 1730395559

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Matteson, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Matteson, IL (9683 Statewide)

Telehealth Adoption Rate
3.3% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180007145

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 180007145

Definition to come...

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License IL 180007145

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Abigail Ruklic , MS, ATC

Specialist/Technologist - Athletic Trainer

NPI 1023387289

Master of Science, Certified Athletic Trainer

Wendy Ceko , MPT

Physical Therapist

NPI 1760653562

Master of Physical Therapy

Ayesha Griffin , PT

Physical Therapist

NPI 1811152515

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 04, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2009

Registered at 4749 LINCOLN MALL DR, #202, MATTESON, IL 604432348 (Tel: 7088338887)

📍
Updated Business Mailing Address November 04, 2009

Registered at 8660 S 86TH AVE, #310, JUSTICE, IL 604582127 (Tel: 7737331773)

👤
Provider Name / Credentials Updated November 04, 2009

Recorded as MIKKAL HARRIS, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2009

Counselor (License #180007145 in IL)

🟢
Initial NPI Registration & Enumeration November 04, 2009

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: 1942537477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2009
Last Update: November 04, 2009
Sole Proprietor: Yes

Mailing Address

8660 S 86th Ave, #310

Justice, IL 604582127

Phone: 7737331773

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.