KATHRYN HARRIS – Mental Health Counselor, NPI 1275893091

Mental Health Counselor

KATHRYN HARRIS is a healthcare provider. based in Broadview, Illinois. specializing in Mental Health Counselor. The NPI Number for KATHRYN HARRIS is 1275893091

Main info

Female

Sole Proprietor

9 Years Of Experience

Accepts Medicare Assignment

Name

KATHRYN HARRIS

NPI

1275893091

Phone

Not provided

Address

1820 S 25TH AVE

Enumeration Date

26 May 2012

Last Update Date

26 May 2012

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4043507333

Graduation Year

2017 (9 years ago)

PAC ID

2062844400

Group Practice PAC ID

1052301777

Professional Enrollment ID

I20191122002206

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience33

Completeness75

Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for KATHRYN HARRIS

1820 S 25TH AVE
BROADVIEW, IL 601552864
Phone:
Type: Mailing
117 S 6TH AVE
MAYWOOD, IL 601531305
Phone: (708) 344-5536
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60155)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1052301777View full group profile

Name	Specialty	State
DR. RUSSELL GORE (M.D.)	N E U R O L O G Y	GA
MISS ASHLEY JOHNSON (M.D.)	Physical Medicine And Rehabilitation	GA
DR. JAMES WOODROW MORGAN (M.D.)	Physical Medicine And Rehabilitation	TN
DR. PUNAM RAHMAN (PSY.D.)	Clinical Psychologist	GA
JILL KOVAL (PHD)	Clinical Psychologist	GA
BEN W THROWER (MD)	N E U R O L O G Y	GA
ANNA CHOO ELMERS (M.D.)	Physical Medicine And Rehabilitation	GA
ABANA FARYAL AZARIAH (M.D.)	Physical Medicine And Rehabilitation	TX
DR. CARTER CO (M.D.)	Pulmonary Disease, Critical Care (Intensivists)	MD
JACQUELINE FAULKNER ROSENTHAL (M.D.)	N E U R O L O G Y	GA