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MR. MIKKAL HARRIS LCPC
NPI 1942537477
Counselor - Professional in Matteson, IL

Active since November 04, 2009PECOS Enrolled
4749 LINCOLN MALL DR, #202, MATTESON, IL 60443(708) 833-8887(708) 827-0555 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mikkal Harris Lcpc NPPES

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

MR. MIKKAL HARRIS LCPC (NPI 1942537477) is an individual professional provider in Matteson, Illinois, licensed in Illinois (180007145) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942537477
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MIKKAL HARRISCredential: LCPC
Location Address4749 LINCOLN MALL DR, #202Matteson, IL 60443-2348
Mailing Address8660 S 86th Ave, #310Justice, IL 60458-2127 · (773) 733-1773 · Fax (708) 458-7930
Phone(708) 833-8887
Fax(708) 827-0555
Sole ProprietorYes
Enumeration DateNovember 4, 2009
✔ NPI 1942537477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180007145
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180007145 (IL)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 180007145 (IL)
4749 LINCOLN MALL DR, Matteson, IL 60443
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mikkal Harris Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

ABIGAIL LYNN RUKLIC M.S., ATC
Specialist/Technologist (Athletic Trainer)
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Cook County (708) 283-9765
PINHAS SHARON MD, LLC
Internal Medicine (Gastroenterology)
4749 LINCOLN MALL DR, SUITE 204
MATTESON, IL 60443
Cook County (708) 481-4200
S. BURBY MENTAL HEALTH CONSULTING, PLLC
Social Worker (Clinical)
4749 LINCOLN MALL DR, STE 202H PMB2048
MATTESON, IL 60443
Cook County (708) 252-3152
ATHLETICO LTD
Physical Therapist
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Cook County (708) 283-9765
WENDY CEKO MPT
Physical Therapist
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Cook County (708) 283-9765
LAYNIE FOUNDATION
Community/Behavioral Health
4749 LINCOLN MALL DR, SUITE 202
MATTESON, IL 60443
Cook County (312) 929-6860
AYESHA D GRIFFIN PT
Physical Therapist
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Cook County (708) 283-9765

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 Mikkal Harris's NPI number?

The NPI number for Mikkal Harris is 1942537477. It was assigned to this individual provider in the NPPES registry on November 4, 2009.

Where is Mikkal Harris located?

Mikkal Harris practices at 4749 Lincoln Mall Dr #202, Matteson, IL 60443. The listed phone number is (708) 833-8887.

What is Mikkal Harris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mikkal Harris enrolled in Medicare?

Yes. Mikkal Harris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikkal Harris was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.