Individual provider Active NPI

Haley Nicole Harris

  • Professional Counselor
  • Frisco, TX
National Provider Identifier
1396522561
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88589 Issued in TX
Practice address
5899 Preston Rd Ste 404
Frisco, TX 75034-9590
Phone
(214) 618-0588
NPI assigned
Sep 12, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 88589 TX Primary

Addresses

Primary practice location

5899 Preston Rd Ste 404
Frisco, TX 75034-9590

Mailing address

5899 Preston Rd Ste 404
Frisco, TX 75034-9590
Phone (214) 618-0588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240124002450 TX Practitioner - Mental Health Counselor 7911350152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregam, PLLCGroup PAC ID 6002281565, 5 clinicians

Practice addresses (Care Compare)

4222 Trinity Mills Rd
Suite 250
Dallas, TX 75287-7655
Phone (972) 534-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregam PLLC CurrentSince Mar 17, 2025 Accepting new patients
Blank Slate Therapy Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

4222 Trinity Mills Rd
Ste 250
Dallas, TX 75287
Phone (214) 646-0870

5899 Preston Rd
Ste 404
Frisco, TX 75034
Phone (214) 618-0588

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1396522561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 404",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349590",
            "telephone_number": "214-618-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 404",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349590",
            "telephone_number": "214-618-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.