Active NPI
Quianda Nichelle Harris, ED.D, LPC-MHSP, MAC
- Professional Counselor
- Nashville, TN
National Provider Identifier
1255444790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1211 21St Ave S
Nashville, TN 37212-2717 - Phone
- (615) 936-1327
- Fax
- (615) 936-3678
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0710101764 | VA | |
| Professional Counselor | 101YP2500X | 0701003705 | VA | |
| Professional Counselor | 101YP2500X | TN | Primary |
Addresses
Primary practice location
1211 21St Ave S
Nashville, TN 37212-2717
Mailing address
1211 21St Ave S Ste 10
Nashville, TN 37212-2717
Phone (615) 936-1327
Other names 1
- Quianda Nichelle Stanley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vumc@direct.vumc.org | Direct |
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 |
|---|---|---|---|
| 0710101764 | VA | MD | Counselor |
| 0701003705 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Newport News Community Services Board | Past | 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.
-
- Community/Behavioral Health Agency
- Hampton, VA
- NPI 1659424448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1255444790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 21ST AVE S STE 10",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122717",
"telephone_number": "615-936-1327",
"fax_number": "615-936-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122717",
"telephone_number": "615-936-1327",
"fax_number": "615-936-3678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "QUIANDA",
"middle_name": "NICHELLE",
"name_prefix": "Dr.",
"credential": "ED.D, LPC-MHSP, MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0710101764",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003705",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vumc@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "1211 21st Ave S",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372122717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "QUIANDA",
"last_name": "STANLEY",
"middle_name": "NICHELLE",
"credential": "LPC, CSAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.