Individual provider Active NPI

Brandon Harris, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1548714314
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11597 Issued in FL
Practice address
5560 Pacific Blvd
409
Boca Raton, FL 33433-6739
Phone
(954) 552-9773
NPI assigned
Aug 10, 2016
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11597 FL Primary

Addresses

Primary practice location

5560 Pacific Blvd
409
Boca Raton, FL 33433-6739

Mailing address

5560 Pacific Blvd
409
Boca Raton, FL 33433-6739
Phone (954) 552-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240306004345 FL Practitioner - Mental Health Counselor 5193161610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 E International Speedway Blvd
Suite 109
Daytona Beach, FL 32118-4662
Phone (954) 552-9773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH11597FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Counseling Services LLC CurrentSince Mar 8, 2025 Accepting new patients
Not Just Therapy, LLC CurrentSince Aug 16, 2025 Accepting new patients

Locations

211 E International Speedway Blvd
Ste 109
Daytona Beach, FL 32118
Phone (954) 552-9773

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1548714314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 PACIFIC BLVD",
            "address_2": "409",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336739",
            "telephone_number": "954-552-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 PACIFIC BLVD",
            "address_2": "409",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336739",
            "telephone_number": "954-552-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRANDON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.