Active NPI
Charles Harris, CATC III
- Addiction (Substance Use Disorder) Counselor
- Van Nuys, CA
National Provider Identifier
1740757665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 208641
- Practice address
- 14515 Hamlin St Ste 100
Van Nuys, CA 91411-1694 - Phone
- (818) 378-0562
- NPI assigned
- Oct 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 208641 | CA | Primary |
Addresses
Primary practice location
14515 Hamlin St Ste 100
Van Nuys, CA 91411-1694
Mailing address
16650 Sherman Way
Van Nuys, CA 91406-3782
Phone (818) 917-8673
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 |
|---|---|---|---|
| 208641 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1740757665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16650 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063782",
"telephone_number": "818-917-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14515 HAMLIN ST STE 100",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111694",
"telephone_number": "818-378-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CHARLES",
"credential": "CATC III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-29",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "208641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.