Active NPI
Samuel Harris
- Counselor
- North Las Vegas, NV
National Provider Identifier
1013300888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1403351346
- Practice address
- 1829 Casa Verde Dr
North Las Vegas, NV 89031-5511 - Phone
- (702) 636-0337
- NPI assigned
- Mar 18, 2015
- Last updated
- Mar 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1403351346 | NV | Primary |
Addresses
Primary practice location
1829 Casa Verde Dr
North Las Vegas, NV 89031-5511
Mailing address
1829 Casa Verde Dr
North Las Vegas, NV 89031-5511
Phone (702) 636-0337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1403351346 | NV | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1013300888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 CASA VERDE DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890315511",
"telephone_number": "702-636-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 CASA VERDE DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890315511",
"telephone_number": "702-636-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": "1403351346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.