Active NPI
Darrell Harris
- Mental Health Counselor
- Pasadena, CA
National Provider Identifier
1760796262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2055 Lincoln Ave
Pasadena, CA 91103-1324 - Phone
- (626) 798-6793
- NPI assigned
- Jul 27, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2055 Lincoln Ave
Pasadena, CA 91103-1324
Mailing address
2055 N Lincoln
Passadena, CA 91103
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": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1760796262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 N LINCOLN",
"city": "PASSADENA",
"state": "CA",
"postal_code": "91103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 LINCOLN AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031324",
"telephone_number": "626-798-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DARRELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.