Casey E Harris, CADC, MHRT-C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC4607 Issued in ME

Practice address

629 Main St
Bangor, ME 04401-6848

Phone

(207) 990-2870

Fax

(207) 990-2298

NPI assigned

Sep 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1316255706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016848",
            "telephone_number": "207-990-2870",
            "fax_number": "207-990-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016848",
            "telephone_number": "207-990-2870",
            "fax_number": "207-990-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CASEY",
        "middle_name": "E",
        "credential": "CADC, MHRT-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC4607",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MAINE - CERTIFIED ALCOHOL AND DRUG COUNSELOR LICENSE",
            "identifier": "CAC4607",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harmony Haven Care LLC
• Bronwyn Harper, LCPC
• Taylor Harper
• Kayla Harriman
• Leanne Harrington, COTA/L
• Jordan Samuel Harris
• Amy R. Harrow, M.D.
• Edward M Harrow, MD
• Rachel S Harrow, MD
• Carrie Elizabeth Hart, LADC

• Addiction (Substance Use Disorder) Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.