NPIMap

Organization Active NPI

Mike Harris Counseling Group, P.C.

Doing business as Crest Counseling Services

  • Mental Health Counselor
  • Salida, CO
National Provider Identifier
1629337548
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8052 Issued in CO
Legal business name
MIKE HARRIS COUNSELING GROUP, P.C.
Doing business as
Crest Counseling Services
Practice address
448 E 1St St
Suite 226
Salida, CO 81201-2804
Phone
(719) 207-4163
Fax
(719) 745-7000
NPI assigned
May 12, 2012
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Michael Harris, MA, LPC, LACNPI 1356460117
Title
President & Clinical Director
Phone
(303) 246-7135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 221 CO
Mental Health Counselor 101YM0800X 8052 CO Primary

Addresses

Primary practice location

448 E 1St St
Suite 226
Salida, CO 81201-2804

Mailing address

448 E 1St St
Suite 226
Salida, CO 81201-2804
Phone (719) 207-4163

Other identifiers 1

IdentifierTypeStateIssuer
20781873MedicaidCO

Other names 1

  • Crest Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

448 E 1st St
Ste 226
Salida, CO 81201
Phone (719) 207-4163

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1629337548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 E 1ST ST",
            "address_2": "SUITE 226",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012804",
            "telephone_number": "719-207-4163",
            "fax_number": "719-745-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E 1ST ST",
            "address_2": "SUITE 226",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012804",
            "telephone_number": "719-207-4163",
            "fax_number": "719-745-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE HARRIS COUNSELING GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-12",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-246-7135",
        "authorized_official_credential": "MA, LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "221",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "8052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20781873",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crest Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.