Mr Mikkal Harris, LCPC in Matteson, IL - Medicare Counselor Provider

Mr Mikkal Harris, LCPC is a medicare enrolled "Counselor - Professional" provider in Matteson, Illinois. His current practice location is 4749 Lincoln Mall Dr, #202, Matteson, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 833-8887.

Mr Mikkal Harris is licensed to practice in Illinois (license number 180007145) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942537477.

Contact Information

	Mr Mikkal Harris, LCPC
	4749 Lincoln Mall Dr, #202, Matteson, IL 60443-2348
	(708) 833-8887
	(708) 827-0555

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mikkal Harris
Gender	Male
Speciality	Counselor - Professional
Location	4749 Lincoln Mall Dr, Matteson, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942537477
Provider Enumeration Date: 11/04/2009
Last Update Date: 11/04/2009

Medicare PECOS Information:

PECOS PAC ID: 6800233321
Enrollment ID: I20240320001053

Medical Identifiers

Medical identifiers for Mr Mikkal Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942537477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180007145 (Illinois)	Secondary
101YP2500X	Counselor - Professional	180007145 (Illinois)	Primary
106H00000X	Marriage & Family Therapist	180007145 (Illinois)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mikkal Harris allows following entities to bill medicare on his behalf.

Entity Name	Counseling And Neuro Dynamics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619686557 PECOS PAC ID: 8527412089 Enrollment ID: O20231002003548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mikkal Harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Mikkal Harris, LCPC 8660 S 86th Ave, #310, Justice, IL 60458-2127 Ph: (773) 733-1773	Mr Mikkal Harris, LCPC 4749 Lincoln Mall Dr, #202, Matteson, IL 60443-2348 Ph: (708) 833-8887

Reviews and Comments

Counselor in Matteson, IL

Sheila M. Pijus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Tullamore Ter., Matteson, IL 60443 Phone: 708-296-3783
Susan Pagels, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 70 Begonia Dr, Matteson, IL 60443 Phone: 708-372-2178
Omari Norman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4801 Southwick Dr Ste 300, Matteson, IL 60443 Phone: 773-398-9004
Terrence Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4801 Southwick Dr Ste 300, Matteson, IL 60443 Phone: 708-747-2655
Candice Renee Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4331 Lincoln Hwy, Matteson, IL 60443 Phone: 708-748-1951 Fax: 708-748-1962
Erica M Ray, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Holiday Plaza, Suite 400, Matteson, IL 60443 Phone: 708-679-9137
Sophie Veronica Littleton, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3624 216th St, Matteson, IL 60443 Phone: 708-481-4086 Fax: 708-481-7725

Mr Mikkal Harris, LCPC - Medicare Counselor in Matteson, IL