Pamela Renee Harris, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E 0007152 Issued in OH

Practice address

670 Broadway Ave
Bedford, OH 44146-3642

Phone

(440) 439-9250

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Be Healed Family Outreach

  • Marriage & Family Therapist
  • Bedford, OH
  • NPI 1184824344

  Professional

  NPD (past)
• Success 1 Services, LLC

  • Marriage & Family Therapist
  • Bedford, OH
  • NPI 1508058736
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2007.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1003014085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 MELBOURNE RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441124137",
            "telephone_number": "216-851-2541",
            "fax_number": "216-851-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BROADWAY AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463642",
            "telephone_number": "440-439-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAMELA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0007152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronna L Hardy, MEDICAL ASSISTANT
• Bryon Harrell, PA-C
• Cas'Sheaira Natonia Harris
• Curt Harris II
• Kourtney Harris
• Hattie Larlham Center for Children With Disabilities
• Hattie Larlham Center for Children With Disabilities
• Tamika Hawkins
• Teresa Hawkins, MOT OTRL
• Helen Daher Hayes

• All providers in Bedford, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.