Lisa Monique Harris

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10210 Issued in CA

Practice address

2772 S Martin L King Jr Blvd
Fresno, CA 93706-5345

Phone

(559) 265-4800

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1083262505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E BELMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011502",
            "telephone_number": "559-237-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 S MARTIN L KING JR BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065345",
            "telephone_number": "559-265-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Belmont",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93728",
            "country_code": "US",
            "telephone_number": "559-237-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LISA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "10210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY CODE",
            "identifier": "3512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1083262505",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Harris, P.T.
• Jeanette M Harris, DC
• Jennifer Marie Harris
• Keola Harris, BSHCM
• Kranae Harris
• Mariah Harris
• McKenzie Dean Harris
• Paige Cecilia Alston Harris, MSW, LCSW
• Patricia Ann Harris, LVN
• Pennie Nicole Harris

• Addiction (Substance Use Disorder) Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.