Individual provider Active NPI

Dale G Harris

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1245376516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2704 NW 46TH PL
Gainesville, FL 32605-1213
Phone
(352) 336-0208
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

2704 NW 46TH PL
Gainesville, FL 32605-1213

Mailing address

2704 NW 46TH PL
Gainesville, FL 32605-1213
Phone (352) 336-0208

Other identifiers 1

IdentifierTypeStateIssuer
7675836MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202000816 FL Practitioner - Mental Health Counselor 3577098417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1549 SW 13TH St
Gainesville, FL 32608-1113
Phone (352) 374-5600

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone 35237456008210

4310 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

4316 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. CurrentSince Oct 29, 2024 Accepting new patients
Meridian Behavioral Healthcare, Inc. Current Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Oct 29, 2024 Accepting new patients

Locations

4300 SW 13th St
Gainesville, FL 32608

Organizations & group practices 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245376516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 NW 46TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051213",
            "telephone_number": "352-336-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 NW 46TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051213",
            "telephone_number": "352-336-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DALE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7675836",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.