Active NPI
Yvonne Marie Harris, LSW
- Counselor
- Highland Park, NJ
National Provider Identifier
1508526930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 44SL06328800
- Practice address
- 27 S 5TH Ave
Highland Park, NJ 08904-2604 - Phone
- (732) 825-7729
- NPI assigned
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 44SL06328800 | NJ | Primary |
Addresses
Primary practice location
27 S 5TH Ave
Highland Park, NJ 08904-2604
Mailing address
14 Dogwood Rd
Morristown, NJ 07960-5936
Phone (973) 202-4661
Other practice location 1
14 Dogwood Rd
Morristown, NJ 07960-5936
Phone (973) 202-4661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SL06328800 | Other | NJ | NJ OFFICE OF THE ATTORNEY GENERAL, DIVISION OF CONSUMER AFFAIRS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06328800 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1508526930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 DOGWOOD RD",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079605936",
"telephone_number": "973-202-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 S 5TH AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042604",
"telephone_number": "732-825-7729"
}
],
"practiceLocations": [
{
"address_1": "14 Dogwood Rd",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079605936",
"country_code": "US",
"telephone_number": "973-202-4661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "YVONNE",
"middle_name": "MARIE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "44SL06328800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ OFFICE OF THE ATTORNEY GENERAL, DIVISION OF CONSUMER AFFAIRS",
"identifier": "44SL06328800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.