Individual provider Active NPI

Rebecca Lynn Harris

  • Addiction (Substance Use Disorder) Counselor
  • North Chesterfield, VA
National Provider Identifier
1356035984
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710103778 Issued in VA
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

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0710103778VAMDAddiction (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.

Verify at the official NPI Registry.