MELISSA HARRIS (LCSW) – Mental Health Counselor, NPI 1588065908

MELISSA HARRIS (LCSW) is a healthcare provider. based in Gibson city, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149028105 (IL). The NPI Number for MELISSA HARRIS (LCSW) is 1588065908

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA HARRIS (LCSW)
NPI
1588065908
Phone
(217) 784-4251
Address
1120 N MELVIN ST
Enumeration Date
5 September 2014
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152684840
Graduation Year
2015 (11 years ago)
PAC ID
7719400704
Group Practice PAC ID
5092703124
Professional Enrollment ID
I20250331002833
Address ID
IL609551401ON912XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MELISSA HARRIS (LCSW)

  • 1120 N MELVIN ST

    GIBSON CITY, IL 609361477

    Phone: (217) 784-4251

    Type: Mailing

  • 323 W MULBERRY ST

    PO BOX 322

    WATSEKA, IL 609701568

    Phone: (815) 432-5241

    Fax: (815) 432-4537

    Type: Mailing

  • 806 E WALNUT ST

    WATSEKA, IL 609701583

    Phone: (815) 432-1078

    Fax: (815) 432-1079

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250331002833IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 60936)

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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: 5092703124View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MELISSA HARRIS (LCSW) in U.S. healthcare records?
The official identifier for MELISSA HARRIS (LCSW) is NPI 1588065908.
Is MELISSA HARRIS (LCSW) still an active registrant?
MELISSA HARRIS (LCSW) carries an active NPI according to the public dataset.
How would a patient describe MELISSA HARRIS (LCSW)'s focus?
For MELISSA HARRIS (LCSW), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MELISSA HARRIS (LCSW)?
Directory geography for MELISSA HARRIS (LCSW) centers on Gibson City, Illinois.
Can I trust this NPI listing for MELISSA HARRIS (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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