Active NPI
Jennifer Harris
- Addiction (Substance Use Disorder) Counselor
- Augusta, GA
National Provider Identifier
1255898748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2357 Tobacco Rd
Augusta, GA 30906-9220 - Phone
- (706) 722-3855
- NPI assigned
- Feb 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | GA | Primary |
Addresses
Primary practice location
2357 Tobacco Rd
Augusta, GA 30906-9220
Mailing address
2357 Tobacco Rd
Augusta, GA 30906-9220
Phone (706) 722-3855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58231216 | Other | GA | AUGUSTA METRO TREATMENT CENTER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1255898748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2357 TOBACCO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309069220",
"telephone_number": "706-722-3855",
"fax_number": "706-798-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2357 TOBACCO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309069220",
"telephone_number": "706-722-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUGUSTA METRO TREATMENT CENTER",
"identifier": "58231216",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.