Individual provider Active NPI

Terrance Harris

  • Addiction (Substance Use Disorder) Counselor
  • Creedmoor, NC
National Provider Identifier
1306479415
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS Issued in NC
Practice address
106 W Church St Ste H
Creedmoor, NC 27522-9765
Phone
(919) 885-4046
Fax
(919) 477-1848
NPI assigned
Feb 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS NC Primary

Addresses

Primary practice location

106 W Church St Ste H
Creedmoor, NC 27522-9765

Mailing address

PO Box 73081
Durham, NC 27722-3081
Phone (919) 885-4046

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

State licenses

LicenseStateTypeSpecialty
LCASNCMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Community Foundation Addiction (Substance Use Disorder) CurrentSince Mar 6, 2022 Accepting new patients
Pinnacle Counseling Services, PLLC PastSince Feb 23, 2020 Accepting new patients
Straight Walk Family Services Past Accepting new patients
Straight Walk Family Services, Inc Past Accepting new patients

Locations

106 W Church St
Ste H
Creedmoor, NC 27522
Phone (919) 885-4046

Interoperability endpoints

  • Direct secure messaging: straightwalkfamilyservices.terranceharris@143676.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1306479415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73081",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277223081",
            "telephone_number": "919-885-4046",
            "fax_number": "919-477-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W CHURCH ST STE H",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229765",
            "telephone_number": "919-885-4046",
            "fax_number": "919-477-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TERRANCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.