Stacy Ann Harris

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MSW001906 Issued in GA

Practice address

630 E Church St
Jasper, GA 30143-1312

Phone

(678) 779-4223

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1114761962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 BIG RIDGE RD",
            "city": "TALKING ROCK",
            "state": "GA",
            "postal_code": "301754604",
            "telephone_number": "678-779-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431312",
            "telephone_number": "678-779-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 Big Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Talking Rock",
            "state": "GA",
            "postal_code": "301754604",
            "country_code": "US",
            "telephone_number": "678-779-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STACY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW001906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Hammett
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• Bradley Dwayne Hare, M.D.
• Ryan Harren, D.M.D.
• Christine Head, LSWAIC
• David Head
• Aleena Herrick, NP-C
• Herbert Maynard Hess, PHYSICAL THERAPIST
• Highland Recovery Center

• Mental Health Counselor in Jasper, GA
• Providers in Jasper, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.