Individual provider Active NPI

Christopher Charles Harris, MA, LPC

  • Mental Health Counselor
  • Fraser, MI
National Provider Identifier
1649710575
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014936 Issued in MI
Practice address
15510 Callahan
Fraser, MI 48026-2723
Phone
(313) 802-3945
NPI assigned
Feb 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014936 MI
Professional Counselor 101YP2500X 6401014936 MI
Mental Health Counselor 101YM0800X 6401014936 MI Primary

Addresses

Primary practice location

15510 Callahan
Fraser, MI 48026-2723

Mailing address

15510 Callahan
Fraser, MI 48026-2723
Phone (313) 802-3945

Other practice location 1

15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155
Phone (586) 281-5866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240125002850 MI Practitioner - Mental Health Counselor 3173976156 Reassigns benefits to 1 organization
I20260627000547 FL Practitioner - Mental Health Counselor 3173976156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401014936MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Charles Harris, Professional Corporation Mental Health CurrentSince Mar 27, 2022 Accepting new patients
Macomb Oakland Regional Center Inc. PastSince Sep 9, 2024 Accepting new patients
Macrobiotic Ed Counseling & Psycho Professional Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1649710575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 CALLAHAN",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262723",
            "telephone_number": "313-802-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 CALLAHAN",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262723",
            "telephone_number": "313-802-3945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15930 19 Mile Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381155",
            "country_code": "US",
            "telephone_number": "586-281-5866",
            "fax_number": "586-204-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014936",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014936",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.