Terrie A Harris

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1086005 Issued in ID

Practice address

605 11TH Ave E
Gooding, ID 83330-5368

Phone

(208) 934-8461

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2008.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1447416540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 11TH AVE E",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305368",
            "telephone_number": "208-934-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 11TH AVE E",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305368",
            "telephone_number": "208-934-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TERRIE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "1086005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gooding Pharmacy Inc
• Gooding Rehab and Living Center
• Raymond C. Goodman, O.D.
• Kyle Grooms, M.D.
• Charles Hancock, LPC, CAMFT,LCPC
• Marcella Louise Heil, M.S. CCC-SLP
• Helping Hands Sanctuary of Idaho, Inc
• Justin Hiroshi Hirasaki
• Cindy Howells
• Bridget Hurd, CADC

• All providers in Gooding, ID
• Addiction (Substance Use Disorder) Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.