Individual provider Active NPI

Melissa Jane Harris, LMFT

  • Marriage & Family Therapist
  • Rio Rancho, NM
National Provider Identifier
1598332223
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF0217841 Issued in NM
Practice address
4200 Meadowlark Lane SE
Suite 4a
Rio Rancho, NM 87124-1050
Phone
(505) 218-6383
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CMF0217841 NM Primary

Addresses

Primary practice location

4200 Meadowlark Lane SE
Suite 4a
Rio Rancho, NM 87124-1050

Mailing address

4200 Meadowlark Lane S.E.
Suite 4a
Rio Rancho, NM 87124-1050
Phone (505) 302-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240418003385 NM Practitioner - Marriage and Family Therapist 5890134142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMF0217841NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
GD Psych Services, LLC CurrentSince Mar 7, 2024 Accepting new patients
The Community Lighthouse Marriage & Family Therapist PastSince Jun 1, 2021 Accepting new patients
The Community Lighthouse PastSince Jun 1, 2021 Accepting new patients

Locations

2200 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 218-6383

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1598332223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LANE S.E.",
            "address_2": "SUITE 4A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-302-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LANE SE",
            "address_2": "SUITE 4A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-218-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-05-15",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0217841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.