Individual provider Active NPI

Evie Lee Harris-Fitzsimons

  • Marriage & Family Therapist
  • Sonora, CA
National Provider Identifier
1720461841
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98616 Issued in CA
Practice address
531 S Washington St
Sonora, CA 95370-5114
Phone
(209) 217-4178
Fax
(209) 532-5003
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 144499 CA
Marriage & Family Therapist 106H00000X 98616 CA Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

531 S Washington St
Sonora, CA 95370-5114

Mailing address

PO Box 4330
Sonora, CA 95370-1330
Phone (209) 217-4178

Other names 1

  • Evie Lee Harris Former name

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

LicenseStateTypeSpecialty
98616CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tuolumne PastSince May 7, 2012 Accepting new patients
County of Tuolumne PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 2

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1720461841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4330",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953701330",
            "telephone_number": "209-217-4178",
            "fax_number": "209-532-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S WASHINGTON ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705114",
            "telephone_number": "209-217-4178",
            "fax_number": "209-532-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-FITZSIMONS",
        "first_name": "EVIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144499",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98616",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVIE",
            "last_name": "HARRIS",
            "middle_name": "LEE",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.