Active NPI
Angela Nicole Harris, LMSW
- Social Worker
- McKinney, TX
National Provider Identifier
1053963678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 67697
- Practice address
- 6675 Mediterranean Dr Ste 504
McKinney, TX 75072-5623 - Phone
- (469) 712-9134
- NPI assigned
- Jul 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 67697 | TX | Primary |
Addresses
Primary practice location
6675 Mediterranean Dr Ste 504
McKinney, TX 75072-5623
Mailing address
7927 Forest LN Apt 318
Dallas, TX 75230-2463
Phone (214) 934-6616
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angelaharrislmsw@underwoodcounseling.net | Direct | UNDERWOOD COUNSELING & CONSULTATION PLLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67697 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucy F. Underwood PHD LPC-S PLLC | Past | Accepting new patients | |
| Underwood Counseling & Consultation PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- McKinney, TX
- NPI 1760860431
-
- Mental Health Counselor
- McKinney, TX
- NPI 1851867584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1053963678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7927 FOREST LN APT 318",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302463",
"telephone_number": "214-934-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 MEDITERRANEAN DR STE 504",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750725623",
"telephone_number": "469-712-9134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-13",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "67697",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "angelaharrislmsw@underwoodcounseling.net",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "UNDERWOOD COUNSELING & CONSULTATION PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6675 Mediterranean Dr Ste 504",
"city": "McKinney",
"state": "TX",
"country_code": "US",
"postal_code": "750725623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.