Individual provider Active NPI

Laquan Monic Harris, LCMHCA

  • Professional Counselor
  • Burlington, NC
National Provider Identifier
1275249393
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A18478 Issued in NC
Practice address
2971 Crouse LN
Burlington, NC 27215-8445
Phone
(704) 832-2200
Fax
(704) 838-1541
NPI assigned
Jan 24, 2023
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A18478 NC Primary

Addresses

Primary practice location

2971 Crouse LN
Burlington, NC 27215-8445

Mailing address

2971 Crouse LN
Burlington, NC 27215-8445
Phone (704) 832-2200

Other practice location 1

140 Kimel Park Dr Ste 101
Winston Salem, NC 27103-6185
Phone (336) 718-7280

Other identifiers 1

IdentifierTypeStateIssuer
A18478OtherNCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20251105004779 NC Practitioner - Mental Health Counselor 7719477967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179

PO Box
Charlotte, NC 28260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A18478NCMDProfessional Counselor
18478NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 16, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 16, 2025 Accepting new patients
Barium Springs Home for Children CurrentSince Feb 12, 2023 Accepting new patients

Locations

2971 Crouse Ln
Burlington, NC 27215
Phone (336) 524-1628

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

140 Kimel Park Dr
Ste 101
Winston Salem, NC 27103
Phone (336) 718-7280

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 4

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1275249393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158445",
            "telephone_number": "704-832-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158445",
            "telephone_number": "704-832-2200",
            "fax_number": "704-838-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Kimel Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036185",
            "country_code": "US",
            "telephone_number": "336-718-7280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LAQUAN",
        "middle_name": "MONIC",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A18478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A18478",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.