Individual provider Active NPI

Timmie Prince Harness Sr., LPC

  • Professional Counselor
  • Kempner, TX
National Provider Identifier
1437614237
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87217 Issued in TX
Practice address
526 County Road 4711
Kempner, TX 76539
Phone
(254) 319-2563
NPI assigned
Feb 5, 2019
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 87217 TX
Mental Health Counselor 101YM0800X 78217 TX
Professional Counselor 101YP2500X 87217 TX Primary

Addresses

Primary practice location

526 County Road 4711
Kempner, TX 76539

Mailing address

526 County Road 4711
Kempner, TX 76539-5873
Phone (254) 319-2563

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
I20240919000562 TX Practitioner - Mental Health Counselor 5092256917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Oklahoma College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care Dallas I LLCGroup PAC ID 3375717044, 72 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

4635 Southwest Fwy
Suite 635
Houston, TX 77027-7112
Phone 71385000491053

600 Congress Ave
Austin, TX 78701-3238
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87217TXMDCounselor
78217TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC Counselor CurrentSince Feb 23, 2026 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Trevor's Place LLC PastSince Oct 13, 2018 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

9009 Forest Ln
Dallas, TX 75243
Phone (972) 783-1771

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900

Organizations & group practices 3

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1437614237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 COUNTY ROAD 4711",
            "city": "KEMPNER",
            "state": "TX",
            "postal_code": "765395873",
            "telephone_number": "254-319-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 COUNTY ROAD 4711",
            "city": "KEMPNER",
            "state": "TX",
            "postal_code": "76539",
            "telephone_number": "254-319-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNESS",
        "first_name": "TIMMIE",
        "middle_name": "PRINCE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "87217",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78217",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kempner, TX

Sources for this page

Verify at the official NPI Registry.