Active NPI
Natasha F Harris, PRIMARY THERAPIST, L
- Mental Health Counselor
- Benton, AR
National Provider Identifier
1730617564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P2001010
- Practice address
- 1502 Mary Kay Blvd
Benton, AR 72015-7201 - Phone
- (501) 315-3344
- NPI assigned
- May 24, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A1705207 | AR | |
| Professional Counselor | 101YP2500X | LAC | AR | |
| Mental Health Counselor | 101YM0800X | P2001010 | AR | Primary |
Addresses
Primary practice location
1502 Mary Kay Blvd
Benton, AR 72015-7201
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 303-3105
Other names 1
- Natasha F Davis
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 |
|---|---|---|---|
| A1705207 | AR | MD | Counselor |
| P2001010 | AR | MD | Mental Health Counselor |
| LAC | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tasha Harris Counseling, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Little Rock, AR
- NPI 1295341188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1730617564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1589",
"city": "BENTON",
"state": "AR",
"postal_code": "720181589",
"telephone_number": "501-303-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 MARY KAY BLVD",
"city": "BENTON",
"state": "AR",
"postal_code": "720157201",
"telephone_number": "501-315-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "NATASHA",
"middle_name": "F",
"credential": "PRIMARY THERAPIST, L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A1705207",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "LAC",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P2001010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "DAVIS",
"middle_name": "F",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.