Jennifer Leigh Harrell, CRC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6456 Planters Rd
Elm City, NC 27822-9311

Phone

(252) 347-9279

NPI assigned

Mar 15, 2022

Last updated

Mar 15, 2022By 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

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Living Beyond It Counseling and Consultation Services, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Smithfield, NC
  • NPI 1467075432
  Medicare reassignment NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1295483501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6456 PLANTERS RD",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278229311",
            "telephone_number": "252-347-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6456 PLANTERS RD",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278229311",
            "telephone_number": "252-347-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniels Abundance of Care LLC.
• Elm City Pharmacy Inc (Elm City Pharmacy)
• Elm City Pharmacy Inc (Elm City Pharmacy)
• Emerald Oaks Healthcare, LLC (Elm City Assisted Living)
• Geritent Enterprises, Inc.
• Kelly Denise Herndon, PEER SUPPORT
• Patricia Raizel Umali Herrington, PT
• Elizabeth Black Horne
• J & S Care Inc. (Morning Star Assisted Living #5)
• Rachel Eileen Kaskie, PA-C

• Counselor in Elm City, NC
• Providers in Elm City, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.