Individual provider Active NPI

Theresa Marie Harmon, LICSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1386855583
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN10005249 Issued in MA
Practice address
6 Main Street Ext Ste 615
Plymouth, MA 02360-3366
Phone
(941) 391-0746
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116116 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN10005249 MA Primary

Addresses

Primary practice location

6 Main Street Ext Ste 615
Plymouth, MA 02360-3366

Mailing address

129 Russell Mills Rd
Plymouth, MA 02360-3018
Phone (941) 391-0746

Other practice location 1

10 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone (508) 540-1801

Other identifiers 1

IdentifierTypeStateIssuer
768265400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20201223000123 MA Practitioner - Clinical Social Worker 3173935871 Practice locations: Plymouth, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN10005249MAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1386855583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 RUSSELL MILLS RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603018",
            "telephone_number": "941-391-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAIN STREET EXT STE 615",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603366",
            "telephone_number": "941-391-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Bramble Bush Dr",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "MA",
            "postal_code": "025402325",
            "country_code": "US",
            "telephone_number": "508-540-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMON",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116116",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "APRN10005249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768265400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.