Mark Harris, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-16970 Issued in AZ

Practice address

6197 S Rural Rd Ste 102
Tempe, AZ 85283-2909

Phone

(602) 699-5750

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Terros, Inc.Group PAC ID 8224077045, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.harris.p1@direct.terros.nextgenshare.com

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.

• Terros, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1841498060

  AZ

  Medicare reassignment Care Compare group NPD
• Empowering Change Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
  • NPI 1174013254
  NPD Authorized official
• Terros Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1356202360
  NPD
• Terros, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1467841023
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1730459710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6197 S RURAL RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832909",
            "telephone_number": "602-699-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6197 S RURAL RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832909",
            "telephone_number": "602-699-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084227",
            "country_code": "US",
            "telephone_number": "602-685-6000",
            "fax_number": "602-275-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16970",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie E Harris-Kinnick, DPT
• Brittany Harris
• Frances Ann Harris, MSW,LCSW,LMFT
• Maasai William Harris
• Marc-Antoine Harris
• Samantha Harris
• Sandra R Harris, PH.D.
• Tanya H Harris, LPC
• Harrison Miao MD PLLC
• Harry Gallo LLC

• All providers in Tempe, AZ
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.