Individual provider Active NPI

Nicole Harris, MS, LPC, RPT

  • Mental Health Counselor
  • Big Spring, TX
National Provider Identifier
1114735487
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84351 Issued in TX
Practice address
2311 Roberts Dr
Big Spring, TX 79720-6033
Phone
(432) 816-0127
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 84351 TX Primary

Addresses

Primary practice location

2311 Roberts Dr
Big Spring, TX 79720-6033

Mailing address

2311 Roberts Dr
Big Spring, TX 79720-6033
Phone (432) 816-0127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000011 TX Practitioner - Mental Health Counselor 4486176682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Counseling and Guidance IncGroup PAC ID 3870576937, 28 clinicians

Practice addresses (Care Compare)

36 E Twohig Ave
Suite 600
San Angelo, TX 76903-6486
Phone (325) 944-2561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
84351TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Counseling & Guidance Inc Mental Health CurrentSince Jan 12, 2025 Accepting new patients

Locations

710 S Gregg St
Big Spring, TX 79720
Phone (432) 264-6860

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": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1114735487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 ROBERTS DR",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206033",
            "telephone_number": "432-816-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ROBERTS DR",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206033",
            "telephone_number": "432-816-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "NICOLE",
        "credential": "MS, LPC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.