Damita Jo Harris, PROF. COUNSELOR LTD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007360 Issued in MI

Practice address

1800 Grindley Park St
Suite 1
Dearborn, MI 48124-2553

Phone

(313) 623-6244

Fax

(313) 277-3414

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Damita Jo Harris-Knowles Former name

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.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1528240280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 DIXIE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392601",
            "telephone_number": "313-623-6244",
            "fax_number": "313-277-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GRINDLEY PARK ST",
            "address_2": "SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242553",
            "telephone_number": "313-623-6244",
            "fax_number": "313-277-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAMITA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PROF. COUNSELOR LTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAMITA",
            "last_name": "HARRIS-KNOWLES",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "PROF. COUNSELOR LTD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Jean Harris, PA-C
• Ayanna E Harris, MA, LLPC
• Charles Harris III
• Cheyenne Harris
• Colby Harris
• Daniel C Harris, DO
• Danielle Harris
• Farrah Harris
• Janasia Rochelle Harris I
• Kayla Harris

• Professional Counselor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.