Individual provider Active NPI

Jerry Lance Harber, MFT, LPC-MHSP

  • Mental Health Counselor
  • Memphis, TN
National Provider Identifier
1407062318
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC TN005 Issued in TN
Practice address
160 S Holmes St
Memphis, TN 38111-4521
Phone
(901) 409-5474
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC TN005 TN Primary
Marriage & Family Therapist 106H00000X TN MFT002 TN

Addresses

Primary practice location

160 S Holmes St
Memphis, TN 38111-4521

Mailing address

160 S Holmes St
Memphis, TN 38111-4521
Phone (901) 409-5474

Other identifiers 2

IdentifierTypeStateIssuer
005OtherTNLPC LICENSE
002OtherTNMFT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC TN005TNMDMental Health Counselor
TN MFT002TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407062318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S HOLMES ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114521",
            "telephone_number": "901-409-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S HOLMES ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114521",
            "telephone_number": "901-409-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBER",
        "first_name": "JERRY",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "MFT, LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC TN005",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "TN MFT002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "005",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT LICENSE",
            "identifier": "002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.