Individual provider Active NPI

Benjamin William Harris III, MA. LPC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1124701826
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012753 Issued in VA
Practice address
2924 Emerywood Pkwy Ste 200
Richmond, VA 23294-3746
Phone
(804) 346-5165
NPI assigned
Aug 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 0701012753 VA Primary

Addresses

Primary practice location

2924 Emerywood Pkwy Ste 200
Richmond, VA 23294-3746

Mailing address

2924 Emerywood Pkwy Ste 200
Richmond, VA 23294-3746
Phone (804) 346-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241015000528 VA Practitioner - Mental Health Counselor 0749712867 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012753VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Behavioral Health Authority Mental Health CurrentSince Feb 3, 2026 Accepting new patients
Counseling Alliance of Virginia LLC CurrentSince Dec 29, 2024 Accepting new patients
Counseling Alliance of Virginia LLC CurrentSince Jul 18, 2024 Accepting new patients

Locations

2924 Emerywood Pkwy
Ste 200
Richmond, VA 23294
Phone (804) 346-5165

107 S 5th St
Richmond, VA 23219
Phone (804) 819-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1124701826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-346-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-346-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BENJAMIN",
        "middle_name": "WILLIAM",
        "name_suffix": "III",
        "credential": "MA. LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.