Charles M Harris Jr., S-LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1796 Issued in AL

Practice address

205 20TH St N
Suite 620
Birmingham, AL 35203-3609

Phone

(205) 370-7901

Fax

(205) 801-5169

NPI assigned

Nov 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Chad M Harris Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1194052241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 20TH ST N",
            "address_2": "SUITE 620",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033609",
            "telephone_number": "205-370-7901",
            "fax_number": "205-801-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 20TH ST N",
            "address_2": "SUITE 620",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033609",
            "telephone_number": "205-370-7901",
            "fax_number": "205-801-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "S-LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "HARRIS",
            "middle_name": "M",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittney Harris
• Brittney Wilder Harris, ALC
• Brooke Shoemaker Harris, CRNA
• Catherine Griffith Harris, RN
• Cedric T Harris, M.D.
• Christian Robinson Harris, OTR/L
• Christina Harris, CRNA
• Corrine Harris
• Cory Lynn Harris, NP-C
• Dan E Harris, CRNP

• Professional Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.