Individual provider Active NPI

Breianna Diana Harris, LCPAT

  • Art Therapist
  • Towson, MD
National Provider Identifier
1003582677
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
1220 E Joppa Rd BLDG B
Towson, MD 21286-5811
Phone
(410) 449-4955
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X Primary

Addresses

Primary practice location

1220 E Joppa Rd BLDG B
Towson, MD 21286-5811

Mailing address

4C North Ave Ste 423
Bel Air, MD 21014-2334
Phone (410) 449-4955

Other names 1

  • Ms. Breianna Diana Harris Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240625001330 MD Practitioner - Mental Health Counselor 2668915109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 S Caton Ave
Baltimore, MD 21229-4210
Phone (443) 306-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Psychotherapy Services LLC CurrentSince Jun 12, 2025 Accepting new patients
Pivot Point Counseling, LLC CurrentSince Aug 29, 2021 Accepting new patients
Stover & Owsley, LLC CurrentSince Apr 3, 2022 Accepting new patients

Locations

800 S Caton Ave
Baltimore, MD 21229
Phone (410) 878-0917

4C North Ave
Ste 423
Bel Air, MD 21014
Phone (410) 449-4955

1220 E Joppa Rd
#B
Towson, MD 21286
Phone (410) 343-9442

Organizations & group practices 3

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1003582677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 423",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142334",
            "telephone_number": "410-449-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E JOPPA RD BLDG B",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865811",
            "telephone_number": "410-449-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BREIANNA",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "LCPAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREIANNA",
            "last_name": "HARRIS",
            "middle_name": "DIANA",
            "prefix": "MS.",
            "credential": "LCPAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.