Active NPI
Joelle C Harrison, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1710096037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3383
- Practice address
- 44 Tierra Monte St NE
Albuquerque, NM 87122-2100 - Phone
- (505) 933-6615
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3383 | NM | |
| Psychoanalysis Psychologist | 103TP0814X | 3383 | NM | |
| Professional Counselor | 101YP2500X | 3383 | NM | Primary |
Addresses
Primary practice location
44 Tierra Monte St NE
Albuquerque, NM 87122-2100
Mailing address
44 Tierra Monte St NE
Albuquerque, NM 87122-2100
Phone (505) 933-6615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000F0362 | Medicaid | NM |
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 |
|---|---|---|---|
| 3383 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giving Tree Counseling, LLC | Past | Accepting new patients |
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.
-
- Counseling Psychologist
- Albuquerque, NM
- NPI 1528450061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1710096037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 TIERRA MONTE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222100",
"telephone_number": "505-933-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 TIERRA MONTE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222100",
"telephone_number": "505-933-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JOELLE",
"middle_name": "C",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "3383",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NM",
"license": "3383",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "3383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000F0362",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.