Ashley Chanell Harris

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10566 Issued in CT

Practice address

76 Center St FL 3
Waterbury, CT 06702-2129

Phone

(347) 401-1399

NPI assigned

Apr 22, 2019

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

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740

  CT

  Medicare reassignment NPD
• A Peaceful Mind Counseling

  • Mental Health Counselor
  • Waterbury, CT
  • NPI 1710582531
  NPD Authorized official
• Cityblock Medical Practice CT, P.C.

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1396218293
  NPD (past)

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1386207652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WASHINGTON ST STE 552",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011089",
            "telephone_number": "347-401-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CENTER ST FL 3",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022129",
            "telephone_number": "347-401-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Woodtick Rd",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067052211",
            "country_code": "US",
            "telephone_number": "203-565-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ASHLEY",
        "middle_name": "CHANELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Harkins, BA
• Harley W Henion Optician Inc
• Javeria Haroon
• Rahsaan Y Harper, BA
• Terry Harran Rodriguez, LCSW
• Jennifer Harris
• Kayla Harris
• Natalie Harris, REGIONAL CASE MGR
• Trisha Harris
• Monica Harvey

• All providers in Waterbury, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.