Tensis Coretta Harris, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701007109 Issued in VA

Practice address

4460 Corporation LN Ste 100
Virginia Beach, VA 23462-3194

Phone

(757) 490-0377

Fax

(757) 490-2108

NPI assigned

Dec 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tensis Coretta Nicholson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christian Psychotherapy Services

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1437247723
  NPD

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376086801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CORPORATION LN",
            "address_2": "STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623150",
            "telephone_number": "757-490-0377",
            "fax_number": "757-490-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CORPORATION LN STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623194",
            "telephone_number": "757-490-0377",
            "fax_number": "757-490-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 E. Virginia Beach Blvd",
            "address_2": "Executive Building Ste 104",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23502",
            "country_code": "US",
            "telephone_number": "757-351-0498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TENSIS",
        "middle_name": "CORETTA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENSIS",
            "last_name": "NICHOLSON",
            "middle_name": "CORETTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Harris
• Robert E Harris
• Ronjeanna Harris
• Samuel Isaac Harris, PMHNP-BC
• Stephanie Ann Harris
• Tiychereigna Harris, CSFA
• Tonya Monique Harris
• Ty'Shaun Erik Harris
• William Joseph Harris Jr., SFIDC
• Yvette M. Harris, QMHP, MA, CADC

• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.