Individual provider Active NPI

Erin Justice Harris, LPC, NCC

  • Mental Health Counselor
  • Williamsburg, VA
National Provider Identifier
1013187111
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007011 Issued in VA
Practice address
500 Strawberry Plains Rd Ste 101
Williamsburg, VA 23188-3442
Phone
(910) 409-6919
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6913 NC
Mental Health Counselor 101YM0800X 0701007011 VA Primary

Addresses

Primary practice location

500 Strawberry Plains Rd Ste 101
Williamsburg, VA 23188-3442

Mailing address

103 Discovery LN
Williamsburg, VA 23185-3104
Phone (910) 409-6919

Other practice location 1

6385 Caratoke Hwy
Grandy, NC 27939-9617
Phone (910) 409-6919

Other identifiers 1

IdentifierTypeStateIssuer
6103856MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260616000344 VA Practitioner - Mental Health Counselor 6103398730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1657 Merrimac TRL
Williamsburg, VA 23185-5624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007011VAMDMental Health Counselor

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": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013187111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DISCOVERY LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853104",
            "telephone_number": "910-409-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STRAWBERRY PLAINS RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231883442",
            "telephone_number": "910-409-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6385 Caratoke Hwy",
            "address_purpose": "LOCATION",
            "city": "Grandy",
            "state": "NC",
            "postal_code": "279399617",
            "country_code": "US",
            "telephone_number": "910-409-6919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ERIN",
        "middle_name": "JUSTICE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6913",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.