Shatana Shanice Harris-Cobb

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5332 Mountain Garland LN
N Las Vegas, NV 89081

Phone

(661) 466-8500

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• A Divine Counseling & Consulting Services Professional LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1386396687
  NPD Authorized official
• Shatana Harris -Cobb

  • Professional Counselor
  • North Las Vegas, NV
  • NPI 1235881533
  NPD Authorized official
• Roi Counseling, LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1619343845

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1104194349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 MOUNTAIN GARLAND LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814034",
            "telephone_number": "661-466-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 MOUNTAIN GARLAND LN",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "661-466-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5017 Alta Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891073937",
            "country_code": "US",
            "telephone_number": "702-816-2595",
            "fax_number": "702-816-2574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 S Green Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890123132",
            "country_code": "US",
            "telephone_number": "702-900-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5332 Mountain Garland Ln",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "89081",
            "country_code": "US",
            "telephone_number": "661-466-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS-COBB",
        "first_name": "SHATANA",
        "middle_name": "SHANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "CP5125",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR LICENSE",
            "identifier": "C10297",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Ashley Hanna
• Geralisa Hardwick
• Harmony Wellness
• Mindy Marier Harnum
• Terry Harper
• Darla Harris
• Lashann Harris
• Lillian Harris
• Phillip Harris
• Alfionya Harrison

• Professional Counselor in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.