Vivian Harris

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

3707 W Good Hope Rd Apt 7
Milwaukee, WI 53209-2362

Phone

(414) 554-4994

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Support Services LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1053038950
  NPD Authorized official
• Community Support Services LLC

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1376124974
  NPD Authorized official

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1407262678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 W GOOD HOPE RD APT 7",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092362",
            "telephone_number": "414-263-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 W GOOD HOPE RD APT 7",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092362",
            "telephone_number": "414-554-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407262678",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Milwaukee",
            "affiliation": "N",
            "endpointDescription": "Community Support Services LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3707 W Good Hope Rd Apt 7",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532092362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Qwashala A Harris, SAC
• Robert Harris
• Ruth Harris, CLINICAL AODA COUNSE
• Sarah Edmonds Harris, MSW, MA
• Tatiana Cheria Harris
• Wendell J. Harris, M.S. -CADC-I
• Yvette L Harris, RN
• Harrison Care Management LLC
• Harrison Psychological Services Inc
• Jasmine Harrison, PSY.D

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.