John David Harry, CADC-I, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

AD10-034H Issued in MS

Practice address

3901 Chicot St
Pascagoula, MS 39581-4320

Phone

(228) 762-3221

Fax

(228) 762-3202

NPI assigned

Sep 15, 2017

Last updated

Sep 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1316466840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 BASS DR",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395658491",
            "telephone_number": "228-218-4926",
            "fax_number": "228-762-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CHICOT ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814320",
            "telephone_number": "228-762-3221",
            "fax_number": "228-762-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "CADC-I, ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MS",
            "license": "AD10-034H",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MS",
            "license": "AD10-034H",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "AD10-034H",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "AD10-034H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hanson
• Huntington T Hapworth, MD
• Melissa Harkey
• Telena T Harmon
• Donnis Kline Harrison, MD
• Kylie Hart, PHARMD
• Hannah Camille Harwell
• James Lee Harwell, MD
• Iesha Cherelle Haynes
• Healthy Smiles Family Dentistry of Pascagoula (Healthy Smiles Family Dentistry)

• Addiction (Substance Use Disorder) Counselor in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Addiction (Substance Use Disorder) Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.