Individual provider Active NPI

Harland Clay Harris, LPC/MHSP SUPERVISOR

  • Professional Counselor
  • Thompsons Station, TN
National Provider Identifier
1568635407
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2565 Issued in TN
Practice address
3441 Milford Dr
Thompsons Station, TN 37179-1523
Phone
(615) 766-0218
NPI assigned
Apr 11, 2008
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61480 TX
Professional Counselor 101YP2500X 61480 TX
Professional Counselor 101YP2500X 2565 TN Primary

Addresses

Primary practice location

3441 Milford Dr
Thompsons Station, TN 37179-1523

Mailing address

3441 Milford Dr
Thompsons Station, TN 37179-1523
Phone (615) 766-0218

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
61480TXMDMental Health Counselor
2565TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Voices for Children Current Accepting new patients
Rachel B. Dorris, LCSW, LLC Current Accepting new patients
Clinical & Forensic Consultation, LLC Professional CurrentSince Aug 1, 2022 Accepting new patients
Mental Health Cooperative, Inc PastSince Dec 5, 2014 Accepting new patients
Healthy Mind Counseling Services, Inc PastSince Jul 10, 2023 Accepting new patients

Locations

10434 Jackson Oaks Way
Knoxville, TN 37922
Phone (865) 281-1408

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tnvoices/r4/

Organizations & group practices 5

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1568635407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 MILFORD DR",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371791523",
            "telephone_number": "615-766-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 MILFORD DR",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371791523",
            "telephone_number": "615-766-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HARLAND",
        "middle_name": "CLAY",
        "credential": "LPC/MHSP SUPERVISOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61480",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61480",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompsons Station, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.