Jacqueline Harris

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60817390 Issued in WA

Practice address

204 NE 94TH St
Seattle, WA 98115-2752

Phone

(206) 461-4580

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jackie Harris Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1366926917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 SE 172ND LN APT N303",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585994",
            "telephone_number": "440-409-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 NE 94TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152752",
            "telephone_number": "206-461-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60817390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "HARRIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gail Ann Harris, RN
• Gary G Harris, R.PH.
• Geoffrey Webb Harris, MD
• Graham James Harris
• Holly Harris, ARNP
• Jeff Harris, N.D.
• Jennifer Harris, LMHC
• Jennifer Lauren Harris, MS, RD, CD
• Jovahn Harris, REGISTERED NURSE
• Judy M Harris

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.