MICHAELA BLAIRE HARRISON LCPC
NPI 1962012260
Counselor - Professional in Fairfield, IL

Active since August 03, 2020
9 FAWN DR, FAIRFIELD, IL 62837(618) 718-1114(877) 681-0190 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Aug 3, 2020 (2 updates tracked since 2020).

About Michaela Blaire Harrison Lcpc NPPES

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

MICHAELA BLAIRE HARRISON LCPC (NPI 1962012260) is an individual professional provider in Fairfield, Illinois, licensed in Illinois (180013059) and active in the NPI registry since August 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962012260
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAELA BLAIRE HARRISONCredential: LCPC
Location Address9 FAWN DRFairfield, IL 62837-2800
Mailing Address9 Fawn DrFairfield, IL 62837-2800 · (618) 718-1114 · Fax (877) 681-0190
Fax(877) 681-0190
Sole ProprietorNo
Enumeration DateAugust 3, 2020
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1962012260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180013059
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180013059 (IL)
9 FAWN DR, Fairfield, IL 62837

Secondary Practice Locations 2

Location 12020 Broadway St Ste AMount Vernon, IL 62864-2973 · Phone (618) 718-1114 · Fax (877) 681-0190
Location 2215 SE 3rd StFairfield, IL 62837-2160 · Phone (618) 718-1114 · Fax (877) 681-0190

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
9 FAWN DR
FAIRFIELD, IL 62837

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 Michaela Harrison's NPI number?

The NPI number for Michaela Harrison is 1962012260. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Michaela Harrison located?

Michaela Harrison practices at 9 Fawn Dr, Fairfield, IL 62837. The listed phone number is (618) 718-1114.

What is Michaela Harrison's specialty?

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

When was this NPI record last updated?

The NPPES record for Michaela Harrison was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.