Active NPI
Linda Harrison
- Professional Counselor
- Leicester, NC
National Provider Identifier
1639348642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4845
- Practice address
- 457 Sugar Creek Rd
Leicester, NC 28748-5512 - Phone
- (828) 350-1000
- Fax
- (828) 350-1723
- NPI assigned
- Feb 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4845 | NC | Primary |
Addresses
Primary practice location
457 Sugar Creek Rd
Leicester, NC 28748-5512
Mailing address
457 Sugar Creek Rd
Leicester, NC 28748-5512
Phone (828) 350-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6112059 | Medicaid | NC |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1639348642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 SUGAR CREEK RD",
"city": "LEICESTER",
"state": "NC",
"postal_code": "287485512",
"telephone_number": "828-350-1000",
"fax_number": "828-350-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 SUGAR CREEK RD",
"city": "LEICESTER",
"state": "NC",
"postal_code": "287485512",
"telephone_number": "828-350-1000",
"fax_number": "828-350-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-23",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6112059",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leicester, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.