Individual provider Active NPI

Nichole Harris, LMSW

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1497480586
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120742 Issued in MI
Practice address
1611 W Centre Ave Ste 203
Portage, MI 49024-5393
Phone
(269) 220-0638
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801120742 MI Primary

Addresses

Primary practice location

1611 W Centre Ave Ste 203
Portage, MI 49024-5393

Mailing address

1611 W Centre Ave Ste 203
Portage, MI 49024-5393
Phone (269) 220-0638

Other practice location 1

6963 W Kl Ave Ste A
Kalamazoo, MI 49009-8043
Phone (269) 459-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801120742MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Connections Counseling PLC Clinical CurrentSince Jul 24, 2022 Accepting new patients
Inner Garden Counseling, PLLC Clinical Current Accepting new patients
Dorman and Associates PLC PastSince Jul 24, 2022 Accepting new patients

Locations

6963 W Kl Ave
#A
Kalamazoo, MI 49009
Phone (269) 459-9790

1611 W Centre Ave
Ste 203
Portage, MI 49024
Phone (269) 220-0638

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1497480586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 203",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245393",
            "telephone_number": "269-220-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 203",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245393",
            "telephone_number": "269-220-0638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6963 W Kl Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098043",
            "country_code": "US",
            "telephone_number": "269-459-9790",
            "fax_number": "269-459-9791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "NICHOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.