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MACKENZIE HARRISON
NPI 1104435494
Counselor in Glen Carbon, IL

Active since July 23, 2020
88 S MAIN ST STE 2, GLEN CARBON, IL 62034(618) 288-8085(618) 288-8959 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2021, Jul 23, 2020 (2 updates tracked since 2020).

About Mackenzie Harrison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE HARRISON (NPI 1104435494) is an individual counselor in Glen Carbon, Illinois and active in the NPI registry since July 2020. She maintains a secondary practice location in Alton.

NPPES Registry Identity

NPI1104435494
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMACKENZIE HARRISON
Location Address88 S MAIN ST STE 2Glen Carbon, IL 62034-1415
Mailing AddressPo Box 639Glen Carbon, IL 62034-0639 · (618) 288-8085 · Fax (618) 288-8959
Phone(618) 288-8085
Fax(618) 288-8959
Sole ProprietorNo
Enumeration DateJuly 23, 2020
Last NPPES UpdateJune 18, 20212 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1104435494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
88 S MAIN ST STE 2, Glen Carbon, IL 62034
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Secondary Practice Location 1

Location 1307 Henry St Ste 100Alton, IL 62002-6326 · Phone (618) 288-8085 · Fax (618) 288-8959

Other Identifiers 1

Medicaid4A00-IPI-032IL

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA STEVENS
Counselor (Mental Health)
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085
SHERRY MCCRADY
Counselor
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085
SHELBY WINN
Counselor
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085
SAMANTHA ROWE
Counselor (Mental Health)
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085
BRITTANY DENTON
Counselor (Mental Health)
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085
AVARIE TRENT
Counselor (Mental Health)
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085
MELISSA NEISLEIN
Counselor (Mental Health)
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085
SOPHIA MUNOZ
Counselor
88 S MAIN ST STE 2
GLEN CARBON, IL 62034
Madison County (618) 288-8085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Harrison's NPI number?

The NPI number for Mackenzie Harrison is 1104435494. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Mackenzie Harrison located?

Mackenzie Harrison practices at 88 S Main St Ste 2, Glen Carbon, IL 62034. The listed phone number is (618) 288-8085.

What is Mackenzie Harrison's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Harrison was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.