Individual provider Active NPI

Ayanna E Harris, MA, LLPC

  • Professional Counselor
  • Dearborn, MI
National Provider Identifier
1700209855
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011186 Issued in MI
Practice address
23810 Michigan Ave
Suite 202a
Dearborn, MI 48124-1830
Phone
(989) 714-4942
NPI assigned
Jan 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011186 MI Primary

Addresses

Primary practice location

23810 Michigan Ave
Suite 202a
Dearborn, MI 48124-1830

Mailing address

23810 Michigan Ave
Suite 202a
Dearborn, MI 48124-1830
Phone (989) 714-4942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240530001238 MI Practitioner - Mental Health Counselor 6002258431 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401011186MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ayanna Harris Counseling, PLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

22190 Garrison St
Ste 204
Dearborn, MI 48124
Phone (313) 769-5705

22190 Garrison St
Ste 103
Dearborn, MI 48124
Phone (248) 259-9157

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": "1390694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1700209855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23810 MICHIGAN AVE",
            "address_2": "SUITE 202A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241830",
            "telephone_number": "989-714-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23810 MICHIGAN AVE",
            "address_2": "SUITE 202A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241830",
            "telephone_number": "989-714-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AYANNA",
        "middle_name": "E",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-26",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.