Individual provider Active NPI

Barbara S Harris

  • Clinical Social Worker
  • Waco, TX
National Provider Identifier
1669428520
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25110 Issued in TX
Practice address
8401 Old McGregor Rd
Waco, TX 76712-6495
Phone
(254) 751-1550
Fax
(254) 751-9291
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25110 TX Primary

Addresses

Primary practice location

8401 Old McGregor Rd
Waco, TX 76712-6495

Mailing address

8401 Old McGregor Rd
Waco, TX 76712-6495
Phone (254) 751-1550

Other identifiers 1

IdentifierTypeStateIssuer
144968804MedicaidTX

Other names 1

  • Barbara S Harris-Mannis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000661 TX Practitioner - Clinical Psychologist 5890877260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34437TXMDOral and Maxillofacial Surgery (Dentist)
25110TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Psychological Associates CurrentSince May 18, 2010 Accepting new patients

Locations

8401 Old McGregor Rd
Woodway, TX 76712
Phone (254) 751-1550

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1669428520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126495",
            "telephone_number": "254-751-1550",
            "fax_number": "254-751-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126495",
            "telephone_number": "254-751-1550",
            "fax_number": "254-751-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BARBARA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144968804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "HARRIS-MANNIS",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.