Individual provider Active NPI

Andrea L. Harris, MA-MFT

  • Marriage & Family Therapist
  • Worcester, MA
National Provider Identifier
1023352507
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
10 Marshall St
Apt. 1
Worcester, MA 01604-2836
Phone
(814) 360-3914
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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 Primary

Addresses

Primary practice location

10 Marshall St
Apt. 1
Worcester, MA 01604-2836

Mailing address

10 Marshall Street
Apt. 1
Worcester, MA 01604
Phone (814) 360-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 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
I20230701000187 PA Practitioner - Clinical Social Worker 8224497789 Reassigns benefits to 1 organization
I20231204001424 PA Practitioner - Marriage and Family Therapist 8224497789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sri Psychological Services PCGroup PAC ID 1456331214, 34 clinicians

Practice addresses (Care Compare)

261 Old York Rd
Jenkintown, PA 19046-3709
Phone (215) 885-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sri Psychological Services, PC CurrentSince May 1, 2023 Accepting new patients

Locations

261 Old York Rd
Ste 318
Jenkintown, PA 19046
Phone (215) 371-3490

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1023352507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARSHALL STREET",
            "address_2": "APT. 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01604",
            "telephone_number": "814-360-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARSHALL ST",
            "address_2": "APT. 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042836",
            "telephone_number": "814-360-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANDREA",
        "middle_name": "L.",
        "credential": "MA-MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.