Individual provider Active NPI

Stephanie Harris, LPC

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1396107496
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6111 Issued in LA
Practice address
506 Standifer Ave
Monroe, LA 71202-5634
Phone
(318) 348-4082
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6111 LA Primary

Addresses

Primary practice location

506 Standifer Ave
Monroe, LA 71202-5634

Mailing address

4000 Grammont St
Monroe, LA 71203-4432
Phone (318) 537-2641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250429001587 LA Practitioner - Mental Health Counselor 8022464940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6111LAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Life Health Center LLC CurrentSince Apr 22, 2025 Accepting new patients
Serene Mind Counseling Services LLC CurrentSince Oct 2, 2023 Accepting new patients

Locations

2410 Ferrand St
Ste 910
Monroe, LA 71201
Phone (318) 323-1560

1401 Hudson Ln
Ste 232
Monroe, LA 71201
Phone (318) 450-0739

2410 Ferrand St
Ste 10
Monroe, LA 71201
Phone (318) 450-2300

2410 Ferrand St
Ste 9
Monroe, LA 71201
Phone (318) 323-1560

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1396107496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 GRAMMONT ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034432",
            "telephone_number": "318-537-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 STANDIFER AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712025634",
            "telephone_number": "318-348-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.