Individual provider Active NPI

Eliza Jane Mercer Harris

  • Mental Health Counselor
  • Pittsboro, NC
National Provider Identifier
1265153944
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18020 Issued in NC
Practice address
68 Fayetteville St
Pittsboro, NC 27312-9465
Phone
(919) 244-2254
NPI assigned
Sep 9, 2022
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 A18020 NC Primary

Addresses

Primary practice location

68 Fayetteville St
Pittsboro, NC 27312-9465

Mailing address

216 Nicks BND E
Pittsboro, NC 27312-7065

Other practice location 1

1230 SE Maynard Rd Ste 102
Cary, NC 27511-6945
Phone (919) 244-2254

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

LicenseStateTypeSpecialty
A18020NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Creative Becoming, PLLC Current Accepting new patients

Locations

1230 SE Maynard Rd
Ste 102
Cary, NC 27511
Phone (919) 244-2254

1350 SE Maynard Rd
Ste 203
Cary, NC 27511
Phone (800) 218-1405

68 Fayetteville St
Pittsboro, NC 27312
Phone (919) 244-2254

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1265153944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NICKS BND E",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273127065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 FAYETTEVILLE ST",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129465",
            "telephone_number": "919-244-2254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 SE Maynard Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116945",
            "country_code": "US",
            "telephone_number": "919-244-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZA JANE",
        "middle_name": "MERCER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.