Jacqueline Ann Harris, MA, MFT, LADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0652 Issued in NV

Practice address

7371 W Charleston Blvd
Ste. 110
Las Vegas, NV 89117-1575

Phone

(702) 290-3210

NPI assigned

May 14, 2013

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

Credentials

Master of Arts

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1174969406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 W CHARLESTON BLVD",
            "address_2": "STE. 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171575",
            "telephone_number": "702-290-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7371 W CHARLESTON BLVD",
            "address_2": "STE. 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171575",
            "telephone_number": "702-290-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, MFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "1111",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Rae Harris, FNP
• Hosea Birch Edward Harris
• Jackie L. Harris
• Jacoby Scott Harris
• Jacquelin Harris
• Janeese Harris
• Jasmine R Harris
• Jean Harris
• Jeeidah Harris
• Jeffrey Harris

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.