Active NPI
Rebecca Lynn Harris
- Addiction (Substance Use Disorder) Counselor
- North Chesterfield, VA
National Provider Identifier
1356035984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0710103778
- Practice address
- 905 Southlake Blvd Ste C
North Chesterfield, VA 23236-3955 - Phone
- (804) 420-2894
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103778 | VA | Primary |
Addresses
Primary practice location
905 Southlake Blvd Ste C
North Chesterfield, VA 23236-3955
Mailing address
1600 Hollow Log Dr
Powhatan, VA 23139-6950
Phone (757) 802-8221
Other practice location 1
310 Turner Rd Ste D-H
North Chesterfield, VA 23225-6400
Phone (540) 202-2554
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 |
|---|---|---|---|
| 0710103778 | VA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1356035984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HOLLOW LOG DR",
"city": "POWHATAN",
"state": "VA",
"postal_code": "231396950",
"telephone_number": "757-802-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SOUTHLAKE BLVD STE C",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232363955",
"telephone_number": "804-420-2894"
}
],
"practiceLocations": [
{
"address_1": "310 Turner Rd Ste D-H",
"address_purpose": "LOCATION",
"city": "North Chesterfield",
"state": "VA",
"postal_code": "232256400",
"country_code": "US",
"telephone_number": "540-202-2554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "REBECCA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710103778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.