Individual provider Active NPI

Morine R Fields Harris, LCPC

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1063581494
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005395 Issued in IL
Practice address
7455 Arroyo Crossing Pkwy
Las Vegas, NV 89113-4085
Phone
(773) 307-9009
NPI assigned
Nov 7, 2006
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180005395 IL Primary
Professional Counselor 101YP2500X CP0111 NV

Addresses

Primary practice location

7455 Arroyo Crossing Pkwy
Las Vegas, NV 89113-4085

Mailing address

3692 Perugia CT
Las Vegas, NV 89141-3499
Phone (773) 539-5993

Other identifiers 1

IdentifierTypeStateIssuer
0001634828OtherILBLUECROSS BLUE SHIELD

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
180005395ILMDProfessional Counselor
CP0111NVMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1063581494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 PERUGIA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413499",
            "telephone_number": "773-539-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134085",
            "telephone_number": "773-307-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS HARRIS",
        "first_name": "MORINE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005395",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "0001634828",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.