Deborah Lynn Harrison, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

R6768 Issued in OR

Practice address

1400 NW 133Rd Ave
Portland, OR 97229-4504

Phone

(503) 671-9919

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Life Discovery Counseling Services

  • Community/Behavioral Health Agency
  • Hillsboro, OR
  • NPI 1407328701
  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1407431703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 133RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294504",
            "telephone_number": "503-671-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 133RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294504",
            "telephone_number": "503-671-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R6768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asiyih Lua Carmel Harrison, LMT
• Cathy C Harrison, RN
• Charles Way Harrison, PH.D.
• Colby E Harrison, M.D.
• David Ariye Harrison
• Garrett Michael Alan Harrison
• Jennifer Rhode Harrison, RN
• Jessica Carmen Harrison, BS, CADC I
• Jessica Marie Harrison, MSSW, LCSW
• Judith Harrison, LMT

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.