Individual provider Active NPI

Joshua Presley Harris, LPC, NCC

  • Case Manager/Care Coordinator
  • Poteau, OK
National Provider Identifier
1174045686
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1212 Reynolds Ave
Poteau, OK 74953-4724
Phone
(918) 649-0172
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11571 OK
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1212 Reynolds Ave
Poteau, OK 74953-4724

Mailing address

1212 Reynolds Ave
Poteau, OK 74953-4724
Phone (918) 649-0172

Other practice location 1

949 N Main St
Mulberry, AR 72947-8538
Phone (479) 452-5040 ext. 407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250319001163 OK Practitioner - Mental Health Counselor 2062934011 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, L.L.C. Professional CurrentSince Mar 1, 2025 Accepting new patients

Locations

448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1174045686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 REYNOLDS AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534724",
            "telephone_number": "918-649-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 REYNOLDS AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534724",
            "telephone_number": "918-649-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "949 N Main St",
            "address_purpose": "LOCATION",
            "city": "Mulberry",
            "state": "AR",
            "postal_code": "729478538",
            "country_code": "US",
            "telephone_number": "479-452-5040 x407",
            "fax_number": "479-452-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOSHUA",
        "middle_name": "PRESLEY",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11571",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.