Individual provider Active NPI

Jaina Harris, B.S.

  • Mental Health Counselor
  • Ansonia, CT
National Provider Identifier
1225687585
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
205 Wakelee Ave
Ansonia, CT 06401-1234
Phone
(203) 735-7481
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

205 Wakelee Ave
Ansonia, CT 06401-1234

Mailing address

205 Wakelee Ave
Ansonia, CT 06401-1234
Phone (203) 735-7481

Other names 1

  • Miss Jaina Maia Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jmaia1@fordham.edu Health Information Exchange (HIE)

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
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. - Archdiocese of Hartford CurrentSince Sep 15, 2019 Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford PastSince Sep 15, 2019 Accepting new patients

Locations

205 Wakelee Ave
Ansonia, CT 06401
Phone (203) 729-0341

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations & group practices 2

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1225687585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011234",
            "telephone_number": "203-735-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011234",
            "telephone_number": "203-735-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAINA",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jmaia1@fordham.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "JHarris@ccaoh.org",
            "address_1": "205 Wakelee Ave",
            "city": "Ansonia",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064011234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAINA",
            "last_name": "MAIA",
            "prefix": "MISS",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.