Individual provider Active NPI

Tammy Kathleen Harris, LCSW

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1407460181
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16081 Issued in OR
Practice address
3706 S Curry St Unit 208
Carson City, NV 89703-6381
Phone
(775) 240-2799
NPI assigned
Sep 1, 2020
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 M6038 OR
Clinical Social Worker 1041C0700X L16081 OR Primary

Addresses

Primary practice location

3706 S Curry St Unit 208
Carson City, NV 89703-6381

Mailing address

59 E 11TH Ave Ste 200
Eugene, OR 97401-3656
Phone (775) 240-2799

Other practice location 1

3945 Willamette St
Eugene, OR 97405-3342
Phone (541) 600-4276

Other practice location 2

59 E 11th Ave Ste 200
Eugene, OR 97401-3656
Phone (775) 240-2799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260521003572 OR Practitioner - Clinical Social Worker 7719457548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2460 NW Troost St
Suite 1
Roseburg, OR 97471-7704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M6038ORMDMental Health Counselor
L16081ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Therapy LLC Mental Health PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1407460181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 11TH AVE STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013656",
            "telephone_number": "775-240-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 S CURRY ST UNIT 208",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897036381",
            "telephone_number": "775-240-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 Willamette St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974053342",
            "country_code": "US",
            "telephone_number": "541-600-4276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 E 11th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013656",
            "country_code": "US",
            "telephone_number": "775-240-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TAMMY",
        "middle_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "M6038",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.