Active NPI
Renetta Renee Harris, LPC
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1235697897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77561
- Practice address
- 3601 S Georgia St Ste C-2
Amarillo, TX 79109-4800 - Phone
- (806) 570-9959
- NPI assigned
- Mar 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77561 | TX | Primary |
Addresses
Primary practice location
3601 S Georgia St Ste C-2
Amarillo, TX 79109-4800
Mailing address
3601 S Georgia St Ste C-2
Amarillo, TX 79109-4800
Phone (806) 570-9959
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77561 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1235697897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 S GEORGIA ST STE C-2",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791094800",
"telephone_number": "806-570-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S GEORGIA ST STE C-2",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791094800",
"telephone_number": "806-570-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "RENETTA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-03",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.