Javaughni Temerra Harrison, SUDRC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

42 Washburn St
San Francisco, CA 94103-2663

Phone

(415) 864-8701

Fax

(415) 864-0682

NPI assigned

Jan 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center Point, Inc

  • Substance Abuse Rehabilitation Facility
  • San Rafael, CA
  • NPI 1851510440
  NPD (past)
• Conard House

  • Case Management Agency
  • San Francisco, CA
  • NPI 1174933949
  NPD (past)
• Conard House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • San Francisco, CA
  • NPI 1619393675
  NPD (past)

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1124899778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 MISSION ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032631",
            "telephone_number": "415-864-7833",
            "fax_number": "415-864-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WASHBURN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032663",
            "telephone_number": "415-864-8701",
            "fax_number": "415-864-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JAVAUGHNI",
        "middle_name": "TEMERRA",
        "credential": "SUDRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "16894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April D Harrison
• Aubrey Harrison
• Bonnie Louise Harrison, LCSW
• Brittany Lea Harrison, M.D.
• George H Harrison, MD
• Jeffrey Matthew Harrison, L.AC.
• Joseph J Harrison, FNP-C
• Joshua Harrison
• Lombeh Harrison, LMFT
• Michael R Harrison, MD

• Case Manager/Care Coordinator in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.