Individual provider Active NPI

Brandi K Harris, M.S.

  • Professional Counselor
  • Springdale, AR
National Provider Identifier
1306176722
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1510114 Issued in AR
Practice address
6815 Isaacs Orchard Rd
Suite B1
Springdale, AR 72762-6324
Phone
(918) 261-3194
Fax
(877) 884-4583
NPI assigned
Jan 7, 2010
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1510114 AR Primary
Marriage & Family Therapist 106H00000X 987 OK
Marriage & Family Therapist 106H00000X M1510008 AR

Addresses

Primary practice location

6815 Isaacs Orchard Rd
Suite B1
Springdale, AR 72762-6324

Mailing address

6815 Isaacs Orchard Rd
Suite B1
Springdale, AR 72762-6324
Phone (918) 261-3194

Other identifiers 1

IdentifierTypeStateIssuer
200311390AMedicaidOK

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 Science

State licenses

LicenseStateTypeSpecialty
P1510114ARMDProfessional Counselor
987OKMDProfessional Counselor
M1510008ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Counseling LLC Past Accepting new patients

Organizations & group practices 1

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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1306176722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD",
            "address_2": "SUITE B1",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626324",
            "telephone_number": "918-261-3194",
            "fax_number": "877-884-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD",
            "address_2": "SUITE B1",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626324",
            "telephone_number": "918-261-3194",
            "fax_number": "877-884-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRANDI",
        "middle_name": "K",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1510114",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "987",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M1510008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.