Demorise Harven IV

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

156359I Issued in CA

Practice address

100 Masonic Ave
San Francisco, CA 94118-4415

Phone

(415) 567-8370

Fax

(415) 351-4058

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Demorise Bennett Former name

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1134501380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MASONIC AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184415",
            "telephone_number": "415-567-8370",
            "fax_number": "415-351-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MASONIC AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184415",
            "telephone_number": "415-567-8370",
            "fax_number": "415-351-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 4th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941222616",
            "country_code": "US",
            "telephone_number": "415-682-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEN IV",
        "first_name": "DEMORISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "156359I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMORISE",
            "last_name": "BENNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edie Hartwick, MFT
• Daire Harty
• Molly Elizabeth Hartzell, M.S.
• Michelle Harui
• Liza Harutyunyan
• Joy Esther Harvey - Blackwell
• Carolyn K. Harvey, DPM
• Colleen Harvey, RN
• Jabarr Jazmian Harvey, BA
• Jeremy R Harvey

• Addiction (Substance Use Disorder) Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.