Individual provider Active NPI

Gloria Harris, LISAC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
National Provider Identifier
1053685313
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-15138 Issued in AZ
Practice address
2227 W Park St
Phoenix, AZ 85041-5477
Phone
(520) 280-8009
Fax
(480) 393-7598
NPI assigned
Mar 5, 2012
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-15138 AZ Primary

Addresses

Primary practice location

2227 W Park St
Phoenix, AZ 85041-5477

Mailing address

2227 W Park St
Phoenix, AZ 85041-5477
Phone (520) 280-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-15138AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gwee's Integrated Health Services LLC CurrentSince Feb 1, 2024 Accepting new patients
Nurturing Souls Counseling Services LLC Mental Health Current Accepting new patients
Renewal Recovery House LLC Addiction (Substance Use Disorder) CurrentSince Jan 12, 2025 Accepting new patients

Locations

9005 N 29th Ave
Ste 12
Phoenix, AZ 85051
Phone (602) 354-8515

Organizations & group practices 3

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1053685313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 W PARK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415477",
            "telephone_number": "520-280-8009",
            "fax_number": "480-393-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 W PARK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415477",
            "telephone_number": "520-280-8009",
            "fax_number": "480-393-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GLORIA",
        "credential": "LISAC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.