Kenneth Harris, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1306068 Issued in AR

Practice address

3111 S 70TH St
Fort Smith, AR 72903-5017

Phone

(479) 452-6650

Fax

(479) 452-5847

NPI assigned

Jan 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harris and Harris Counseling

  • Mental Health Counselor
  • Fort Smith, AR
  • NPI 1487114245

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1760712186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S Q ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033170",
            "telephone_number": "918-822-0987",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S 70TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035017",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Whittmore Dr",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744646022",
            "country_code": "US",
            "telephone_number": "918-822-0987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 Old Greenwood Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729036913",
            "country_code": "US",
            "telephone_number": "479-274-0403",
            "fax_number": "479-769-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KENNETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "P1306068",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1306068",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1306068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Medical Group PLLC
• Harris Medical Group PLLC
• Aaron Harris, APRN-CNP
• David R Harris, LPC
• Debra Harris, LAC/LAMFT
• Leeann Harris, MHPP
• Michele Renee Harris, QBHP
• Angela Harrison, LAC
• Bailey Michelle Harrison
• Wansley Harrison

• Professional Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.