Active NPI
Veronica Celeste Harris, LAPC, NCC
- Mental Health Counselor
- Lithonia, GA
National Provider Identifier
1053967372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC006962
- Practice address
- 6584 Shady Creek CT
Lithonia, GA 30058-3027 - Phone
- (678) 549-1203
- NPI assigned
- Aug 13, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC006962 | GA | Primary |
Addresses
Primary practice location
6584 Shady Creek CT
Lithonia, GA 30058-3027
Mailing address
6584 Shady Creek CT
Lithonia, GA 30058-3027
Phone (678) 549-1203
Other practice location 1
1017 Fayetteville Road
Suite B
Atlanta, GA 30316
Phone (470) 207-2198
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 |
|---|---|---|---|
| APC006962 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1053967372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6584 SHADY CREEK CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300583027",
"telephone_number": "678-549-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6584 SHADY CREEK CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300583027",
"telephone_number": "678-549-1203"
}
],
"practiceLocations": [
{
"address_1": "1017 Fayetteville Road",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30316",
"country_code": "US",
"telephone_number": "470-207-2198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "VERONICA",
"middle_name": "CELESTE",
"credential": "LAPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC006962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.