Active NPI
Wendy G. Harris, MED., LPC, NCC, NBCT
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1740474774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- NCBLPC # 4127
- Practice address
- 4608 Cedar Ave
Suite 114
Wilmington, NC 28403-4419 - Phone
- (910) 799-1933
- Fax
- (910) 799-1966
- NPI assigned
- Sep 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NCBLPC # 4127 | NC | Primary |
| School Counselor | 101YS0200X | NCDPI LIC. #G K-12 | NC |
Addresses
Primary practice location
4608 Cedar Ave
Suite 114
Wilmington, NC 28403-4419
Mailing address
4608 Cedar Ave
Suite 114
Wilmington, NC 28403-4419
Phone (910) 799-1933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103686 | Medicaid | NC |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCBLPC # 4127 | NC | MD | Professional Counselor |
| NCDPI LIC. #G K-12 | NC | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1740474774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4608 CEDAR AVE",
"address_2": "SUITE 114",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034419",
"telephone_number": "910-799-1933",
"fax_number": "910-799-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4608 CEDAR AVE",
"address_2": "SUITE 114",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034419",
"telephone_number": "910-799-1933",
"fax_number": "910-799-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "WENDY",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "MED., LPC, NCC, NBCT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-03",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "NCBLPC # 4127",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": "NCDPI LIC. #G K-12",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103686",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.