Active NPI
Cierra Harris
- Professional Counselor
- Stone Mountain, GA
National Provider Identifier
1093350761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC007151
- Practice address
- 221 Scenic View LN
Stone Mountain, GA 30087-6193 - Phone
- (757) 582-1534
- NPI assigned
- Nov 16, 2019
- Last updated
- Nov 16, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC007151 | GA | Primary |
Addresses
Primary practice location
221 Scenic View LN
Stone Mountain, GA 30087-6193
Mailing address
221 Scenic View LN
Stone Mountain, GA 30087-6193
Phone (757) 582-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC007151 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Lane | Current | Accepting new patients |
Locations
200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515
2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573862400000",
"number": "1093350761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 SCENIC VIEW LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300876193",
"telephone_number": "757-582-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 SCENIC VIEW LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300876193",
"telephone_number": "757-582-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-16",
"last_updated": "2019-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC007151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.