Active NPI
Justice Harris, LGSW
- Mental Health Counselor
- Bowie, MD
National Provider Identifier
1609467737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LG50083397
- Practice address
- 14603 London LN
Bowie, MD 20715-2576 - Phone
- (202) 607-4976
- NPI assigned
- Feb 1, 2021
- Last updated
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 | LG50083397 | DC | Primary |
Addresses
Primary practice location
14603 London LN
Bowie, MD 20715-2576
Mailing address
14603 London LN
Bowie, MD 20715-2576
Phone (202) 607-4976
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 |
|---|---|---|---|
| LG50083397 | DC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1609467737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14603 LONDON LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207152576",
"telephone_number": "202-607-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14603 LONDON LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207152576",
"telephone_number": "202-607-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JUSTICE",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "LG50083397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.