Active NPI
Kandis Alese Harrison
- Professional Counselor
- Houston, TX
National Provider Identifier
1063234888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 96049
- Practice address
- 9606 Mesa Dr
Houston, TX 77078-3024 - Phone
- (832) 548-5000
- NPI assigned
- Oct 31, 2024
- Reactivated
- Jul 17, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 96049 | TX | Primary |
Addresses
Primary practice location
9606 Mesa Dr
Houston, TX 77078-3024
Mailing address
PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5000
Other names 1
- Miss Kandis Alese Fletcher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96049 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1063234888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772666308",
"telephone_number": "832-548-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9606 MESA DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770783024",
"telephone_number": "832-548-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KANDIS",
"middle_name": "ALESE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-31",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"deactivation_date": "2026-02-05",
"reactivation_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "96049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KANDIS",
"last_name": "FLETCHER",
"middle_name": "ALESE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.