Individual provider Active NPI

William Kevin Harrison, LMFT, CCSH, DBSM

  • Marriage & Family Therapist
  • Mount Airy, NC
National Provider Identifier
1013755297
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
20143 Issued in NC
Practice address
951 Rockford St
Mount Airy, NC 27030-5323
Phone
(336) 789-5058
NPI assigned
Jul 19, 2024
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 20143 NC Primary

Addresses

Primary practice location

951 Rockford St
Mount Airy, NC 27030-5323

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-9034

Other practice location 1

560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-2061

Other practice location 2

110 Dutchman Ct
Elkin, NC 28621-2237
Phone (336) 835-7337

Other practice location 3

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886

Other practice location 4

240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone (828) 264-7311

Other practice location 5

130 Swiss Haven Dr
Pilot Mountain, NC 27041-8476
Phone (336) 756-2063

Other practice location 6

301 E Meeting St Ste 101
Morganton, NC 28655-3594
Phone (828) 608-0800

Other practice location 7

448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221

Other practice location 8

204 Jefferson St Ste And107
North Wilkesboro, NC 28659-3543
Phone (336) 838-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250924004898 NC Practitioner - Marriage and Family Therapist 8527563147 Reassigns benefits to 3 organizations
I20260528000720 DC Practitioner - Marriage and Family Therapist 8527563147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

PO Box
Suite 1490
Boone, NC 28607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20143NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Therapy, PLLC Marriage & Family Therapist CurrentSince Jul 1, 2024 Accepting new patients
Surry Medical Ministries Foundation Inc Current Accepting new patients
Kriska Health, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1814 N Bridge St
Elkin, NC 28621
Phone (336) 258-2150

708 S South St
Ste 400
Mount Airy, NC 27030
Phone (336) 415-5126

951 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7993

Networks

  • KY PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15683/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1013755297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "336-789-5058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286127918",
            "country_code": "US",
            "telephone_number": "828-874-2061",
            "fax_number": "888-232-8525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Dutchman Ct",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212237",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "fax_number": "336-835-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 State Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074948",
            "country_code": "US",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Highway 105 Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074291",
            "country_code": "US",
            "telephone_number": "828-264-7311",
            "fax_number": "828-264-7907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Swiss Haven Dr",
            "address_purpose": "LOCATION",
            "city": "Pilot Mountain",
            "state": "NC",
            "postal_code": "270418476",
            "country_code": "US",
            "telephone_number": "336-756-2063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Meeting St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553594",
            "country_code": "US",
            "telephone_number": "828-608-0800",
            "fax_number": "828-528-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 Cranberry St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286578800",
            "country_code": "US",
            "telephone_number": "828-737-0221",
            "fax_number": "828-737-0321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Jefferson St Ste And107",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593543",
            "country_code": "US",
            "telephone_number": "336-838-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "WILLIAM",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LMFT, CCSH, DBSM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-19",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.