Stacey Reid Harris, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003146 Issued in VA

Practice address

5000 New Point Rd Ste 3201
Williamsburg, VA 23188-9423

Phone

(757) 645-3558

Fax

(757) 645-3668

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addiction Recovery Center of VirginiaGroup PAC ID 6406277268, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Addiction Recovery Center of Virginia

  • Clinic/Center
  • Williamsburg, VA
  • NPI 1811407042
  Medicare reassignment Care Compare group NPD
• Success in Mind of Virginia LLC

  dba Success Behavioral Health Services

  • Professional Counselor
  • Williamsburg, VA
  • NPI 1952812810
  Medicare reassignment NPD

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1245708460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 JORDANS JOURNEY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231851444",
            "telephone_number": "757-262-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NEW POINT RD STE 3201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889423",
            "telephone_number": "757-645-3558",
            "fax_number": "757-645-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STACEY",
        "middle_name": "REID",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolee Larger Harris
• Danielle Alexandra Harris, LPC
• Erika M. Harris, PA-C
• Erin Justice Harris, LPC, NCC
• Katy M Harris, MSN, BSN, RN
• Gina Harrison, PT
• Jared Stephen Harrison, D.O.
• Mikaila Erin Hartigan, PT, DPT
• Richard J Hartle, MD
• Jacob A Hartley, D.M.D

• Professional Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.