Individual provider Active NPI

Chasity Amber Harris, LPC-MHSP

  • Mental Health Counselor
  • La Follette, TN
National Provider Identifier
1386881241
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC2418 Issued in TN
Practice address
130 Independence LN
La Follette, TN 37766-3073
Phone
(423) 562-1156
Fax
(423) 566-5106
NPI assigned
Jan 14, 2009
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC2418 TN Primary

Addresses

Primary practice location

130 Independence LN
La Follette, TN 37766-3073

Mailing address

130 Independence LN
La Follette, TN 37766-3073
Phone (423) 562-1156

Other practice location 1

507 Main St
Jacksboro, TN 37757-2967
Phone (423) 562-1156

Other names 1

  • Mrs. Amber Harris Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240123003706 TN Practitioner - Mental Health Counselor 9931551165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health of East Tennessee IncGroup PAC ID 7618887803, 11 clinicians

Practice addresses (Care Compare)

130 Independence LN
La Follette, TN 37766-3031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC2418TNMDMental Health Counselor
2418TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of East Tennessee, Inc CurrentSince Jan 1, 2024 Accepting new patients
Hol Health Counseling Mental Health Past Accepting new patients

Locations

130 Independence Ln
La Follette, TN 37766
Phone (423) 562-1705

130 Independence Ln
Ste 1
La Follette, TN 37766
Phone (423) 562-1705

Interoperability endpoints

  • Direct secure messaging: chasity.harris.p1@direct.chetn.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1386881241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663073",
            "telephone_number": "423-562-1156",
            "fax_number": "423-562-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663073",
            "telephone_number": "423-562-1156",
            "fax_number": "423-566-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksboro",
            "state": "TN",
            "postal_code": "377572967",
            "country_code": "US",
            "telephone_number": "423-562-1156",
            "fax_number": "423-562-5106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHASITY",
        "middle_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HARRIS",
            "prefix": "MRS.",
            "credential": "LPC-MHSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.