Individual provider Active NPI

Joel Harris, PHD

  • Counseling Psychologist
  • Raleigh, NC
National Provider Identifier
1003353954
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5770 Issued in NC
Practice address
6901 Three Bridges Cir
Raleigh, NC 27613-3552
Phone
(910) 398-0188
Fax
(814) 377-0185
NPI assigned
Jan 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5770 NC Primary

Addresses

Primary practice location

6901 Three Bridges Cir
Raleigh, NC 27613-3552

Mailing address

6901 Three Bridges Cir
Raleigh, NC 27613-3552
Phone (910) 398-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323000598 NC Practitioner - Clinical Psychologist 7810274560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5770NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Mental Health PLLC Counseling CurrentSince Feb 17, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1003353954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 THREE BRIDGES CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133552",
            "telephone_number": "910-398-0188",
            "fax_number": "814-377-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 THREE BRIDGES CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133552",
            "telephone_number": "910-398-0188",
            "fax_number": "814-377-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "5770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.