Active NPI
Elizabeth Doherty Harles, LCMHC
- Mental Health Counselor
- Cary, NC
National Provider Identifier
1366938847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11243
- Practice address
- 417 Kildaire Farm Rd
Cary, NC 27511-3433 - Phone
- (919) 601-4207
- NPI assigned
- Jul 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11243 | NC | |
| Mental Health Counselor | 101YM0800X | 11243 | NC | Primary |
Addresses
Primary practice location
417 Kildaire Farm Rd
Cary, NC 27511-3433
Mailing address
2113 Balboa Rd
Raleigh, NC 27603-2603
Phone (919) 601-4207
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | eharlescounseling.com | Direct |
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 |
|---|---|---|---|
| 11243 | NC | MD | Mental Health Counselor |
| A11243 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1366938847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 BALBOA RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276032603",
"telephone_number": "919-601-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275113433",
"telephone_number": "919-601-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLES",
"first_name": "ELIZABETH",
"middle_name": "DOHERTY",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-08",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11243",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11243",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "eharlescounseling.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business website",
"address_1": "2113 Balboa Rd",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276032603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.