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

NPI Status: Active since November 04, 2009

Contact Information

4749 LINCOLN MALL DR
#202
MATTESON, IL
ZIP 60443
Phone: (708) 833-8887
Fax: (708) 827-0555

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  • Individual
  • Male
  • Counselor
  • Professional
  • PECOS Enrolled

About MIKKAL HARRIS

This page provides the complete NPI Profile along with additional information for Mikkal Harris, a provider established in Matteson, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1942537477 assigned on November 2009. The practitioner's primary taxonomy code is 101YP2500X with license number 180007145 (IL). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1942537477
Provider Name
MR. MIKKAL HARRIS LCPC
Gender
Male
Entity Type
Individual
Location Address
4749 LINCOLN MALL DR #202 MATTESON, IL 60443
Location Phone
(708) 833-8887
Location Fax
(708) 827-0555
Mailing Address
8660 S 86TH AVE #310 JUSTICE, IL 60458
Mailing Phone
(773) 733-1773
Mailing Fax
(708) 827-0555
Is Sole Proprietor?
Yes
Enumeration Date
11-04-2009
Last Update Date
11-04-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
180007145
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

180007145 (IL)
2106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

180007145 (IL)

Medicare Participation & PECOS Enrollment Status

Mikkal Harris is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942537477, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 0 + 3 + 1 + 4 + 4 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1942537477.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physical Therapist
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Community/Behavioral Health
4749 LINCOLN MALL DR, SUITE 202
MATTESON, IL 60443
Specialist/Technologist (Athletic Trainer)
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Internal Medicine (Gastroenterology)
4749 LINCOLN MALL DR, SUITE 204
MATTESON, IL 60443
Physical Therapist
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Physical Therapist
4749 LINCOLN MALL DR, SUITE 550
MATTESON, IL 60443
Social Worker (Clinical)
4749 LINCOLN MALL DR, STE 202H PMB2048
MATTESON, IL 60443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942537477, enumerated as an "individual" on November 04, 2009.

The provider is located at 4749 LINCOLN MALL DR #202 MATTESON, IL 60443 and the phone number is (708) 833-8887.

Counselor with taxonomy code 101YP2500X and a focus in Professional.