Active NPI
Declan Harris, NCC
- Mental Health Counselor
- Nashville, TN
National Provider Identifier
1558144352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1305 16TH Ave S
Nashville, TN 37212-2923 - Phone
- (831) 402-7991
- NPI assigned
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1305 16TH Ave S
Nashville, TN 37212-2923
Mailing address
1700 State St Apt 201
Nashville, TN 37203-3009
Phone (831) 402-7991
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1558144352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 STATE ST APT 201",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372033009",
"telephone_number": "831-402-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 16TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122923",
"telephone_number": "831-402-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DECLAN",
"credential": "NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.