Active NPI
James Roger Harner, LCAS, CCS
- Addiction (Substance Use Disorder) Counselor
- Mooresville, NC
National Provider Identifier
1639353352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 501
- Practice address
- 610 E Center Ave
Mooresville, NC 28115-2578 - Phone
- (704) 660-1020
- Fax
- (704) 660-1024
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 501 | NC | Primary |
Addresses
Primary practice location
610 E Center Ave
Mooresville, NC 28115-2578
Mailing address
895 State Farm Rd Ste 508
Boone, NC 28607-4917
Phone (828) 263-5606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6110503 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501 | NC | MD | Critical Care Medicine Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1639353352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 STATE FARM RD STE 508",
"city": "BOONE",
"state": "NC",
"postal_code": "286074917",
"telephone_number": "828-263-5606",
"fax_number": "828-264-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E CENTER AVE",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152578",
"telephone_number": "704-660-1020",
"fax_number": "704-660-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNER",
"first_name": "JAMES",
"middle_name": "ROGER",
"credential": "LCAS, CCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6110503",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.