MEDICARE: HARBOR COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225989304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	216 N JEFFERSON ST STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-1302
Country	:	US
Telephone Number	:	312-884-9521
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 N JEFFERSON ST STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-1302
Country	:	US
Telephone Number	:	312-884-9521
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLAS KERTESZ
Credential	:	LCPC
Telephone Number	:	760-457-5884

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	03/03/2026

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