Individual provider Active NPI

Gregory Harris

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1710352471
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6471 Issued in MD
Practice address
9030 Route 108
Suite a
Columbia, MD 21045-1990
Phone
(410) 740-1901
NPI assigned
Dec 7, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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 LC6471 MD Primary

Addresses

Primary practice location

9030 Route 108
Suite a
Columbia, MD 21045-1990

Mailing address

9030 Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20240219003450 MD Practitioner - Mental Health Counselor 6406290386 Reassigns benefits to 2 organizations
I20240221004196 DC Practitioner - Mental Health Counselor 6406290386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Way Station IncGroup PAC ID 8628064151, 25 clinicians

Practice addresses (Care Compare)

9030 State Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Peaceful Path Therapy LLC Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Jan 7, 2024 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jan 7, 2024 Accepting new patients
Family Services, Inc Current Accepting new patients
Family Services, Inc. CurrentSince Jan 7, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

Organizations & group practices 7

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": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1710352471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 ROUTE 108",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451990",
            "telephone_number": "410-740-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 ROUTE 108",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451990",
            "telephone_number": "410-740-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.