Active NPI
Patrina Flanagan Harris
- Professional Counselor
- Houston, TX
National Provider Identifier
1043922776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 89405
- Practice address
- 1401 North Loop W
Houston, TX 77008-1647 - Phone
- (832) 786-9668
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 89405 | TX | Primary |
Addresses
Primary practice location
1401 North Loop W
Houston, TX 77008-1647
Mailing address
12920 Steeple Way Blvd Apt 2
Houston, TX 77065-4567
Phone (281) 830-0279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240514000175 | TX | Practitioner - Mental Health Counselor | 5698116234 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89405 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
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": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1043922776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12920 STEEPLE WAY BLVD APT 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654567",
"telephone_number": "281-830-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 NORTH LOOP W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081647",
"telephone_number": "832-786-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PATRINA",
"middle_name": "FLANAGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2024-04-22",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "89405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.