Nicole Harris, MS, LPC, RPT
Individual provider Active NPI Mental Health Counselor · Big Spring, TX
NPI 1114735487 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1114735487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 84351 (TX)
- Practice address
- 2311 Roberts Dr
Big Spring, TX 79720-6033 - Phone
- (432) 816-0127
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
36 E Twohig Ave
Suite 600
San Angelo, TX 76903-6486
Phone (325) 944-2561
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318000011 | TX | Practitioner - Mental Health Counselor | 4486176682 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84351 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Counseling & Guidance Inc | Mental Health | Current |
Accepting new patients |
Locations
710 S Gregg St
Big Spring, TX 79720
Phone (432) 264-6860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84351 | TX | Yes |
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
Other providers in Big Spring, TX
- Rudy I Haddad
- Ba Han
- Misti K Harland
- Sharron Harrell
- Laurie Wooten Harris
- Shawn Harris
- Health and Human Services Commission
- Health and Human Services Commission
- Health and Human Services Commission
- Susan R Henderson
All providers in Big Spring, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.