Organization Active NPI

Harris Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1346048170
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HARRIS COUNSELING SERVICES LLC
Doing business as
Harris Counseling Services LLC
Practice address
211 E International Speedway Blvd
Daytona Beach, FL 32118-4689
Phone
(954) 552-9773
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Brandon HarrisNPI 1548714314
Title
Licensed Mental Health Counselor
Phone
(954) 552-9773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

211 E International Speedway Blvd
Daytona Beach, FL 32118-4689

Mailing address

998 Sandle Wood Dr
Port Orange, FL 32127-9337
Phone (954) 552-9773

Other names 2

  • Harris Counseling Services LLC Doing business as
  • Brandon Harris Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250605000948 FL Part B Supplier - Clinic/Group Practice 6002325503 Receives reassigned benefits from 1 practitioner
Practice locations: Daytona Beach, FL

National Provider Directory

National Provider Directory

Locations

211 E International Speedway Blvd
Ste 109
Daytona Beach, FL 32118
Phone (954) 552-9773

211 E International Speedway Blvd
Daytona Beach, FL 32118
Phone (954) 552-9773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1346048170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 SANDLE WOOD DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279337",
            "telephone_number": "954-552-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184689",
            "telephone_number": "954-552-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "954-552-9773"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandon Harris",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.