Christopher Allen-Michael Harris, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T22141 Issued in IA

Practice address

138 N Clark St
Forest City, IA 50436-1643

Phone

(641) 585-2060

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chris Harris Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prairie Ridge Integrated Behavioral Healthcare

  dba Prairie Ridge

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mason City, IA
  • NPI 1801637061
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1275252553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W 12TH AVE N APT 12",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281189",
            "telephone_number": "641-529-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N CLARK ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361643",
            "telephone_number": "641-585-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Eisenhower Ave",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504011521",
            "country_code": "US",
            "telephone_number": "641-424-2391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN-MICHAEL",
        "credential": "TCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T22141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "HARRIS",
            "credential": "TCADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Forest City Chiropractic & Sports Clinic,P.C.
• Forest City Community School District
• Forest Plaza Assisted Living
• Foundational Chiropractic LLC
• Nate Allen Gremmer
• Rebekah G. Hennigar, ARNP
• Hy-Vee Inc (Hy-Vee Pharmacy (1190))
• J&J Pharmacy Inc (Miller Pharmacy)
• Trichelle Mae Jackson, O.D.
• Taylor Paige Julius, ARNP

• Addiction (Substance Use Disorder) Counselor in Forest City, IA
• Providers in Forest City, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.