Roy Chester Harness, MSW,PCHMT,PCAT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jackson, MS
NPI 1194498451 · NPPES record last updated Jul 31, 2021
Key facts
- NPI
- 1194498451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- PA0343 (MS)
- Practice address
- 1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028 - Phone
- (601) 718-2648
- Fax
- (601) 718-2487
- NPI assigned
- Jul 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0343 | MS | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Comprehension Treatment Center | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PA0343 | MS | Yes |
Addresses
Primary practice location
1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028
Mailing address
1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028
Phone (601) 718-2648
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | royharness.harness@ctcprograms.com | Health Information Exchange (HIE) |
Other providers in Jackson, MS
- Harmonizing Community Care Agency
- Harmony Court Assisted Living Home Inc
- Harmony House Calls LLC
- Harmonycares Complete Health Services, PLLC
- Harmonycares Complete Health Services, PLLC
- Harper Health Services Inc
- Ayonia Lavone Harper
- Kimberley Harper
- Monica Louise Harper
- Myrtis Marie Harper
All providers in Jackson, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.