Active NPI
Robbion Jarado Harris
- Mental Health Counselor
- Lacey, WA
National Provider Identifier
1760001630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4104 Ingleside Dr SE
Lacey, WA 98503-2113 - Phone
- (253) 426-9962
- NPI assigned
- Apr 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4104 Ingleside Dr SE
Lacey, WA 98503-2113
Mailing address
4104 Ingleside Dr SE
Lacey, WA 98503-2113
Phone (253) 426-9962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531617500 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Harrobbion13 |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1760001630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 INGLESIDE DR SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985032113",
"telephone_number": "253-426-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4104 INGLESIDE DR SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985032113",
"telephone_number": "253-426-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROBBION",
"middle_name": "JARADO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "531617500",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Harrobbion13",
"affiliation": "N",
"address_1": "4104 Ingleside Dr SE",
"city": "Lacey",
"state": "WA",
"country_code": "US",
"postal_code": "985032113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.