Electra Lucette Harris, LADC, MENTAL HEALTH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10941 Douglas LN N
Champlin, MN 55316-3563

Phone

(763) 777-1471

Fax

(763) 777-1471

NPI assigned

Jul 9, 2025

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

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1053201095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10941 DOUGLAS LN N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163563",
            "telephone_number": "763-777-1471",
            "fax_number": "763-777-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 DOUGLAS LN N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163563",
            "telephone_number": "763-777-1471",
            "fax_number": "763-777-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELECTRA",
        "middle_name": "LUCETTE",
        "name_prefix": "Mrs.",
        "credential": "LADC, MENTAL HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle Henderson
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• Kayla Lee Hernandez

• All providers in Champlin, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.