Individual provider Active NPI

Lynne H. Harris, LPC, LMHC, LMFT, ATR

  • Marriage & Family Therapist
  • Saint Marys, GA
National Provider Identifier
1336395441
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4369 Issued in FL
Practice address
106 Hamlet Cir
Saint Marys, GA 31558-2517
Phone
(703) 581-9264
NPI assigned
Aug 9, 2008
Last updated
May 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LPC008427OtherGABOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS AND MARRIAGE AND FAMILY THERAPI
MT4369OtherFLBOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, MENTAL HEALTH COUNSELI
0701004410OtherVADEPARTMENT OF HEALTH PROFESSIONALS
MH15994OtherFLBOARD 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
MH15994FLMDMental Health Counselor
LPC008427GAMDProfessional Counselor
0701004410VAMDProfessional Counselor
MT4369FLMDMarriage & 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

Verify at the official NPI Registry.