Individual provider Active NPI

Flora Harris

  • Marriage & Family Therapist
  • Harrisburg, NC
National Provider Identifier
1629264247
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52157 Issued in CA
Practice address
10601 Coronet CT
Harrisburg, NC 28075-8610
Phone
(310) 701-5351
Fax
(704) 595-3595
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 52157 NC
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X 52157 CA Primary

Addresses

Primary practice location

10601 Coronet CT
Harrisburg, NC 28075-8610

Mailing address

10601 Coronet CT
Harrisburg, NC 28075-8610
Phone (310) 701-5351

Other practice location 1

5800 Hannum Ave
Culver City, CA 90230-6553
Phone (310) 701-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250709001174 CA Practitioner - Marriage and Family Therapist 2062926348 Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Long Beach, CA 90806
Phone (310) 701-5351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52157CAMDMarriage & Family Therapist
52157NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1629264247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 CORONET CT",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758610",
            "telephone_number": "310-701-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 CORONET CT",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758610",
            "telephone_number": "310-701-5351",
            "fax_number": "704-595-3595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 Hannum Ave",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306553",
            "country_code": "US",
            "telephone_number": "310-701-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "FLORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "52157",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

Verify at the official NPI Registry.