Individual provider Active NPI

Linda Robertson Harris, MA LPC NCC NCSC

  • School Counselor
  • Clemmons, NC
National Provider Identifier
1336315159
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
186 Issued in NC
Practice address
6200 Bingham Avenue
Clemmons, NC 27012-9480
Phone
(336) 712-4444
Fax
(336) 712-4420
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 186 NC Primary

Addresses

Primary practice location

6200 Bingham Avenue
Clemmons, NC 27012-9480

Mailing address

6200 Bingham Avenue
Clemmons, NC 27012-9480
Phone (336) 712-4444

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 Arts

State licenses

LicenseStateTypeSpecialty
186NCMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1336315159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BINGHAM AVENUE",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129480",
            "telephone_number": "336-712-4444",
            "fax_number": "336-712-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BINGHAM AVENUE",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129480",
            "telephone_number": "336-712-4444",
            "fax_number": "336-712-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDA",
        "middle_name": "ROBERTSON",
        "name_prefix": "Mrs.",
        "credential": "MA LPC NCC NCSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.