Individual provider Active NPI

Holly Harrison, MA, LMFT, CRAADC

  • Marriage & Family Therapist
  • Springfield, MO
National Provider Identifier
1275893695
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2011040291 Issued in MO
Practice address
2146 W Chesterfield Blvd
Suite E202
Springfield, MO 65807-8650
Phone
(417) 881-8890
Fax
(417) 881-4249
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2011040291 MO Primary

Addresses

Primary practice location

2146 W Chesterfield Blvd
Suite E202
Springfield, MO 65807-8650

Mailing address

2146 W Chesterfield Blvd
Suite E202
Springfield, MO 65807-8650
Phone (417) 881-8890

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2011040291MOMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1275893695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 W CHESTERFIELD BLVD",
            "address_2": "SUITE E202",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078650",
            "telephone_number": "417-881-8890",
            "fax_number": "417-881-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 W CHESTERFIELD BLVD",
            "address_2": "SUITE E202",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078650",
            "telephone_number": "417-881-8890",
            "fax_number": "417-881-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HOLLY",
        "credential": "MA, LMFT, CRAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2011040291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.