MICHAELA BLAIRE HARRISON (NPI# 1962012260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962012260 |
| Entity Type | Individual |
| Full Name | MICHAELA BLAIRE HARRISON |
| Credential | LCPC |
| Practice Address |
213 Nw 10th St Ste A Fairfield IL 62837-1219 |
| Practice Telephone | 6188424617 |
| Mailing Telephone | 6188424617 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180013059 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 180013059 | 05 |
| Street Address |
213 NW 10TH ST STE A |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992725972 | Jeff Wood | Social Worker | 213 Nw 10th St Ste A, Fairfield, IL 62837 | 2006-07-20 |
| 1407492325 | Courtney Robertson | Nurse Practitioner | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 | 2019-11-26 |
| 1477194447 | Russell A Sztukowski | Family Medicine | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 | 2019-10-01 |
| 1952861965 | Megan Winter | Nurse Practitioner | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 | 2019-03-25 |
| 1518476191 | Sherry L Mewes | Nurse Practitioner | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 | 2017-09-26 |
| 1447562269 | Nicole Fyie | Family Medicine | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 | 2010-07-09 |
| 1467506329 | Jill L Barnfield | Social Worker | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756517 | Kara Yass LLC | Counselor | 1401 Post Rd, Fairfield, CT 06824-5907 | 2019-08-20 |
| 1396390423 | Susan S Starkie LLC | Counselor | 156 Round Hill Rd, Fairfield, CT 06824-5114 | 2019-08-06 |
| 1710549399 | Susan Starkie | Counselor | 156 Round Hill Rd Ste A, Fairfield, CT 06824-5114 | 2019-07-03 |
| 1710455373 | Samimah Aziz | Counselor | 1545 Webster St Ste A, Fairfield, CA 94533-4917 | 2018-11-12 |
| 1770059131 | Mallory Bonarrigo | Counselor | 168 Chatham Rd, Fairfield, CT 06825-1402 | 2018-10-23 |
| 1952881690 | Shen Counseling, LLC | Counselor | 263 Mill River Rd, Fairfield, CT 06824-2958 | 2018-08-21 |
| 1922525005 | Lauren Cuccaro Rinn | Counselor | 34 Sherman Ct Fl 2, Fairfield, CT 06824-5826 | 2017-08-29 |
| 1881054351 | Maurice Geddis | Counselor | 1234 Empire St Fl 2, Suite2300, Fairfield, CA 94533-5711 | 2016-02-26 |
| 1013373661 | Melissa Pardi | Counselor | 435 Mountain Meadows Dr, Fairfield, CA 94534-6714 | 2016-01-12 |
| 1932579794 | Megan Ann Burton | Counselor | 630 5th Ave North, Fairfield, MT 59436 | 2015-10-05 |
| Find all providers in FAIRFIELD | ||||
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| 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.