Frederick Harris

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6374-125 Issued in WI

Practice address

5930 Seminole Centre CT Ste C
Fitchburg, WI 53711-5165

Phone

(608) 630-8889

Fax

(608) 200-7268

NPI assigned

Jun 14, 2017

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Beginnings Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fitchburg, WI
  • NPI 1386250561
  NPD Authorized official
• Journey Mental Health Center, Inc.

  • Case Management Agency
  • Madison, WI
  • NPI 1841413879
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1093245961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 SEMINOLE CENTRE CT STE C",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115165",
            "telephone_number": "608-630-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 SEMINOLE CENTRE CT STE C",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115165",
            "telephone_number": "608-630-8889",
            "fax_number": "608-200-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "FREDERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "6374-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey L Hanson, CAPSW
• Holly N Hanson, NP
• Don A Harden, MD
• Sean Christopher Harnois, PHARMD
• Marie Harper, CCC-SLP
• Joshua Harshman, OD
• Lisa Ann Hart
• Hadeel Sufian Hasan, LCSW, CSAC
• Mumtaz Ali Hashi, REGISTERED NURSE
• Said Mohamed Hassan

• Addiction (Substance Use Disorder) Counselor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.