Individual provider Active NPI

Carrie Marie Harris

  • Mental Health Counselor
  • Mechanicsville, VA
National Provider Identifier
1720865645
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704015746 Issued in VA
Practice address
7374 Creighton Pkwy
Mechanicsville, VA 23111-4615
Phone
(804) 410-1195
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704015746 VA Primary

Addresses

Primary practice location

7374 Creighton Pkwy
Mechanicsville, VA 23111-4615

Mailing address

7374 Creighton Pkwy
Mechanicsville, VA 23111-4615
Phone (804) 410-1195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260123001592 VA Practitioner - Mental Health Counselor 5496232159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Behavioral Health AuthorityGroup PAC ID 7810896370, 13 clinicians

Practice addresses (Care Compare)

107 S 5TH St
Richmond, VA 23219-3825
Phone (804) 819-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704015746VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Behavioral Health Authority Mental Health CurrentSince Nov 14, 2025 Accepting new patients

Locations

107 S 5th St
Richmond, VA 23219
Phone (804) 819-4000

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1720865645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7374 CREIGHTON PKWY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114615",
            "telephone_number": "804-410-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7374 CREIGHTON PKWY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114615",
            "telephone_number": "804-410-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704015746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.