MS. PAMELA A. HARRISON (NPI# 1487964078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487964078 |
Entity Type | Individual |
Full Name | MS. PAMELA A. HARRISON |
Credential | LCPC CADC ATE |
Practice Address |
750 Almar Pkwy Ste 205 Bourbonnais IL 60914-2399 |
Mailing Address |
Po Box 584 Manteno IL 60950-0584 |
Practice Telephone | 7083726443 |
Mailing Telephone | 7083726443 |
Enumeration Date | 2010-10-15 |
Last Update Date | 2017-03-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
22242 | IL | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
180010760 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
1134587918 | Pamela Harrison | Counselor | 195 W 12th Ave, Eugene, OR 97401-3408 | 2016-02-08 |
1578906517 | Pamela Willingham Harrison | Physical Therapist | 1350 Walton Way, Augusta, GA 30901-2612 | 2013-04-09 |
1972877496 | Pamela Sue Harrison | Pharmacist | 850 Riverview Rd, Pineville, KY 40977-1430 | 2012-03-01 |
1760788871 | Pamela Jean Harrison | Case Manager/Care Coordinator | 1005 E Main St, Building C, Medford, OR 97504-7448 | 2011-02-07 |
1033318399 | Pamela F Harrison | Nurse's Aide | 710 N Main St, Suite D, Clinton, TN 37716-3143 | 2007-07-16 |
1649499518 | Pamela J Harrison | Social Worker | 7c Cleveland Ct, Greenville, SC 29601 | 2007-04-25 |
1285777540 | Pamela Harrison | Social Worker | 4155 Harrison Blvd, Suite 200, Ogden, UT 84403 | 2007-02-15 |
1073614848 | Pamela Jolly Harrison | Pharmacist | 700 19th Street South, Birmingham, AL 35233 | 2006-09-26 |
1538271143 | Pamela Ann Harrison | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-08-31 |
Street Address |
750 ALMAR PKWY STE 205 |
City | BOURBONNAIS |
State | IL |
Zip Code | 60914-2399 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003476136 | Pamela Ford Counseling Limited | Counselor | 750 Almar Pkwy Ste 205, Bourbonnais, IL 60914-2399 | 2019-06-20 |
1538675301 | Ericka Clark | Counselor | 750 Almar Pkwy Ste 205, Bourbonnais, IL 60914-2399 | 2017-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
Find all providers in zip 60914 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730714940 | Andrew M. Fisher Counseling P.C. | Counselor | 1180 N Convent St, Bourbonnais, IL 60914-1004 | 2020-03-08 |
1477021103 | Nicole Marie Stanek | Counselor | 310 N Convent St Ste 6, Bourbonnais, IL 60914-2176 | 2018-11-12 |
1821564584 | Megan Ann Campbell-degedeh | Counselor | 348 Curwick Dr, Bourbonnais, IL 60914-1462 | 2018-10-21 |
1447746268 | Marla J Barnard | Counselor | 1304 Derby Dr, Bourbonnais, IL 60914-9364 | 2018-07-04 |
1144734724 | Thomas Showers | Counselor | 19 Heritage Dr Ste 208, Bourbonnais, IL 60914-2724 | 2017-11-19 |
1609391317 | Margaret Ann Piper | Counselor | 750 Almar Pkwy Ste 202, Bourbonnais, IL 60914-2399 | 2017-08-03 |
1124373675 | Lia Jane Schillinger | Counselor | 500 Brown Blvd, Bourbonnais, IL 60914-2328 | 2012-07-20 |
1962795526 | Thomas M Potoski | Counselor | 4 Duncan Dr Suite C, Bourbonnais, IL 60914-1083 | 2011-05-16 |
1821223736 | Mary F Weber | Counselor | 1780 Career Center Rd, Bourbonnais, IL 60914-5176 | 2009-05-20 |
1831339134 | Carlos Aquino Jr. | Counselor | 14 Heritage Plz, Bourbonnais, IL 60914-2514 | 2009-02-26 |
Find all providers in BOURBONNAIS |
City | BOURBONNAIS |
Zip Code | 60914 |
Please comment or provide details below to improve the information on MS. PAMELA A. HARRISON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.