Active NPI
Oretha Harris, LPC
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1336558501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11416
- Practice address
- 1724 Roxie Ave
Fayetteville, NC 28304-1623 - Phone
- (910) 615-3333
- Fax
- (910) 615-9765
- NPI assigned
- Aug 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11416 | NC | Primary |
Addresses
Primary practice location
1724 Roxie Ave
Fayetteville, NC 28304-1623
Mailing address
1724 Roxie Ave
Fayetteville, NC 28304-1623
Phone (910) 615-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11416 | Other | NC | LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11416 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1336558501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 ROXIE AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041623",
"telephone_number": "910-615-3333",
"fax_number": "910-615-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 ROXIE AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041623",
"telephone_number": "910-615-3333",
"fax_number": "910-615-9765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ORETHA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "11416",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.