Kimberly Harrison, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66810 Issued in TX

Practice address

4130 Bellaire Blvd Ste 214
Houston, TX 77025-1044

Phone

(713) 993-7030

Fax

(713) 993-7774

NPI assigned

Jul 18, 2016

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• The Conative Group, PLLC

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  • Houston, TX
  • NPI 1992615231
  Authorized official Same address or phone

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1265885040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 BELLAIRE BLVD STE 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251056",
            "telephone_number": "713-993-7030",
            "fax_number": "713-993-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 BELLAIRE BLVD STE 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251044",
            "telephone_number": "713-993-7030",
            "fax_number": "713-993-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Harrison, MD
• Jessica Harrison, CRNA
• Jo Ann Harrison
• Kandis Alese Harrison
• Kevin B Harrison, OD
• Kit W Harrison, PH.D.
• Krystle Ann Harrison, PA-C
• Ladreamer Dee Harrison, LCSW
• Layci J Harrison, LAT ATC
• Lutricia Harrison, N.P.

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.