Individual provider Active NPI

Ann Millner Harrell, M.ED.,LPC, NCC, ADTR

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1629025945
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3886 Issued in NC
Practice address
612 Pasteur Dr
Ste. 104
Greensboro, NC 27403-1149
Phone
(336) 707-6933
Fax
(336) 854-0099
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3886 NC Primary

Addresses

Primary practice location

612 Pasteur Dr
Ste. 104
Greensboro, NC 27403-1149

Mailing address

1823 Tennyson CT
Greensboro, NC 27410-2440
Phone (336) 282-5972

Other identifiers 2

IdentifierTypeStateIssuer
1321UOtherNCBCBS OF NC PROVIDER ID #
6102081MedicaidNC

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3886NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629025945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 TENNYSON CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102440",
            "telephone_number": "336-282-5972",
            "fax_number": "336-854-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR",
            "address_2": "STE. 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031149",
            "telephone_number": "336-707-6933",
            "fax_number": "336-854-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "ANN",
        "middle_name": "MILLNER",
        "name_prefix": "Mrs.",
        "credential": "M.ED.,LPC, NCC, ADTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER ID #",
            "identifier": "1321U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.