Active NPI
Katrina Harris
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1588383582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CI734
- Practice address
- 10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590 - Phone
- (702) 389-4500
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- 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 | CI734 | NV | Primary |
Addresses
Primary practice location
10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590
Mailing address
9221 Jadecrest Dr
Las Vegas, NV 89134-6055
Phone (702) 498-1137
Other practice location 1
6171 W Charleston Blvd Bldg 10
Las Vegas, NV 89146-1126
Phone (702) 486-7865
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 |
|---|---|---|---|
| CI734 | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nevada - Sncas Outpatient | Past | Accepting new patients | |
| State of Nevada - Sncas Case Management | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba SNCAS Case Management
- Community/Behavioral Health Agency
- North Las Vegas, NV
- NPI 1679640023
-
dba NV St DCFS Sncas Op
- Adolescent and Children Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1568539914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1588383582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9221 JADECREST DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346055",
"telephone_number": "702-498-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 PARK RUN DR STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444590",
"telephone_number": "702-389-4500"
}
],
"practiceLocations": [
{
"address_1": "6171 W Charleston Blvd Bldg 10",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891461126",
"country_code": "US",
"telephone_number": "702-486-7865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "KATRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CI734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.