Individual provider Active NPI

Brooke Harris, LPC-S

  • Professional Counselor
  • Pelham, AL
National Provider Identifier
1225614142
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3295 Issued in AL
Practice address
110 Hayesbury CT
Pelham, AL 35124-1058
Phone
(256) 283-3608
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3295 AL Primary

Addresses

Primary practice location

110 Hayesbury CT
Pelham, AL 35124-1058

Mailing address

110 Hayesbury CT
Pelham, AL 35124-1058
Phone (256) 283-3608

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pelham

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1940 Hwy 33
Unit a
Pelham, AL 35124

1940 Hwy 33
Unit a
Pelham, AL 35124-4487

1940 Hwy 33
Unit a
Pelham, AL 35124-4887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3295ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Counseling LLC CurrentSince May 9, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1225614142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAYESBURY CT",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241058",
            "telephone_number": "256-283-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAYESBURY CT",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241058",
            "telephone_number": "256-283-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BROOKE",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pelham",
            "affiliation": "N",
            "address_1": "110 Hayesbury Ct",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351241058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.