Individual provider Active NPI

Angela Nicole Harris, LMSW

  • Social Worker
  • McKinney, TX
National Provider Identifier
1053963678
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
67697 Issued in TX
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
67697TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lucy F. Underwood PHD LPC-S PLLC PastSince Jul 25, 2019 Accepting new patients
Underwood Counseling & Consultation PLLC PastSince Jul 25, 2019 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.

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.

Verify at the official NPI Registry.