Jamika Diane Harris, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401014689 Issued in MI

Practice address

29260 Franklin Rd Ste 123
Southfield, MI 48034-1144

Phone

(313) 608-1242

NPI assigned

Dec 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1023580271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23612 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333202",
            "telephone_number": "313-608-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD STE 123",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341144",
            "telephone_number": "313-608-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMIKA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Monique Harris-Wilson, MA, LLPC
• Alexander Ryan Harris, MD
• Amber Monique Harris, DO
• Anthony F Harris, MD
• Ebonie Ziarre Harris, M.D
• Joyce Elaine Harris, MA LPC
• Kaela Harris, MSW
• Martin Harris, M.D.
• Miakila Onira Harris
• Mya Harris

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.