Yvette Monique Harris, ED. D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1096 Tena Ave
Fairbanks, AK 99701-1422

Phone

(907) 374-1097

NPI assigned

Apr 5, 2021

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Restore LLC

  • Substance Abuse Rehabilitation Facility
  • Fairbanks, AK
  • NPI 1295329803
  NPD

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1386223519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 ARROW RTE",
            "address_2": "1553",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91729",
            "telephone_number": "909-578-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 TENA AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011422",
            "telephone_number": "907-374-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "YVETTE",
        "middle_name": "MONIQUE",
        "credential": "ED. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Harris
• Patricia Ann Harris
• Shirley Harris, LPTA
• Sirrah Jade Harris, RBT
• Tiffany Harris
• Lynn Roberta Harrison, M.ED
• Kathryn Harrod, LMT
• James F Harry, RPH
• Ethan Hart
• Summer Dawn Hartford

• Mental Health Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.