Active NPI
Lynne H. Harris, LPC, LMHC, LMFT, ATR
- Marriage & Family Therapist
- Saint Marys, GA
National Provider Identifier
1336395441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4369
- Practice address
- 106 Hamlet Cir
Saint Marys, GA 31558-2517 - Phone
- (703) 581-9264
- NPI assigned
- Aug 9, 2008
- Last updated
- May 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15994 | FL | |
| Professional Counselor | 101YP2500X | LPC008427 | GA | |
| Professional Counselor | 101YP2500X | 0701004410 | VA | |
| Marriage & Family Therapist | 106H00000X | MT4369 | FL | Primary |
Addresses
Primary practice location
106 Hamlet Cir
Saint Marys, GA 31558-2517
Mailing address
106 Hamlet Cir
Saint Marys, GA 31558-2517
Phone (703) 581-9264
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC008427 | Other | GA | BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS AND MARRIAGE AND FAMILY THERAPI |
| MT4369 | Other | FL | BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, MENTAL HEALTH COUNSELI |
| 0701004410 | Other | VA | DEPARTMENT OF HEALTH PROFESSIONALS |
| MH15994 | Other | FL | BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, AND MENTAL HEALTH COUN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 18, 2026 through Jun 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15994 | FL | MD | Mental Health Counselor |
| LPC008427 | GA | MD | Professional Counselor |
| 0701004410 | VA | MD | Professional Counselor |
| MT4369 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653177600000",
"number": "1336395441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 HAMLET CIR",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315582517",
"telephone_number": "703-581-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 HAMLET CIR",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315582517",
"telephone_number": "703-581-9264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LYNNE",
"middle_name": "H.",
"name_prefix": "Ms.",
"credential": "LPC, LMHC, LMFT, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-09",
"last_updated": "2022-05-22",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15994",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008427",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004410",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS AND MARRIAGE AND FAMILY THERAPI",
"identifier": "LPC008427",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, MENTAL HEALTH COUNSELI",
"identifier": "MT4369",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH PROFESSIONALS",
"identifier": "0701004410",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, AND MENTAL HEALTH COUN",
"identifier": "MH15994",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.