Johnna Harris

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-17706 Issued in AZ

Practice address

2060 W Whispering Wind Dr Ste 270
Phoenix, AZ 85085-2869

Phone

(480) 653-8434

NPI assigned

Apr 14, 2020

Last updated

Apr 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Wellness Center LLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1720572043
  NPD
• Phoenix Wellness Center

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1194232512
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1669091104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42424 N GAVILAN PEAK PKWY UNIT 3206",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863703",
            "telephone_number": "480-815-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W WHISPERING WIND DR STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852869",
            "telephone_number": "480-653-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHNNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-17706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamesria A Harris, LAC
• Jamie C Harris, MD
• Jenni Harris, DO
• Joann Harris
• John Olen Harris Jr., D.C.
• Joseph Lee Harris
• Judith A Harris, PNP
• Kelly Rae Harris, FNP-C
• Kyle Harris, RPH
• Larry Harris, LPC

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.