Active NPI
Lalisa C Harris, LPCC
- Professional Counselor
- Dayton, OH
National Provider Identifier
1164950952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2102639-SUPV
- Practice address
- 860 Valley St
Dayton, OH 45404-2066 - Phone
- (937) 641-3060
- Fax
- (937) 641-3285
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2102639-SUPV | OH | Primary |
Addresses
Primary practice location
860 Valley St
Dayton, OH 45404-2066
Mailing address
PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-5072
Other practice location 1
3300 W Tech Blvd
Miamisburg, OH 45342-4865
Phone (937) 641-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0312811 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2102639 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1164950952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933421",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-5072",
"fax_number": "937-641-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 VALLEY ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454042066",
"telephone_number": "937-641-3060",
"fax_number": "937-641-3285"
}
],
"practiceLocations": [
{
"address_1": "3300 W Tech Blvd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453424865",
"country_code": "US",
"telephone_number": "937-641-3401",
"fax_number": "937-641-3046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "LALISA",
"middle_name": "C",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2102639-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0312811",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.