Individual provider Active NPI

Yvette M. Harris, QMHP, MA, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
National Provider Identifier
1174118640
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
H1911191434 Issued in VA
Practice address
4843 Ledura Rd
Virginia Beach, VA 23462-7253
Phone
(757) 639-1194
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X H1911191434 VA Primary

Addresses

Primary practice location

4843 Ledura Rd
Virginia Beach, VA 23462-7253

Mailing address

4843 Ledura Rd
Virginia Beach, VA 23462-7253
Phone (757) 639-1194

Other names 1

  • Global Minded Goals/ Global Keys Professional name

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 Arts

State licenses

LicenseStateTypeSpecialty
H1911191434VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1174118640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 LEDURA RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627253",
            "telephone_number": "757-639-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 LEDURA RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627253",
            "telephone_number": "757-639-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "YVETTE",
        "middle_name": "M.",
        "credential": "QMHP, MA, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "H1911191434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLOBAL",
            "last_name": "GOALS/ GLOBAL KEYS",
            "middle_name": "MINDED",
            "credential": "QMHP, MA, CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.