Active NPI
Amy Louise Harris, MED
- Addiction (Substance Use Disorder) Counselor
- Chelsea, MA
National Provider Identifier
1770701625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 028
- Practice address
- 100 Everett Ave
Unit 4
Chelsea, MA 02150-2309 - Phone
- (617) 884-6829
- NPI assigned
- Apr 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 028 | MA | Primary |
Addresses
Primary practice location
100 Everett Ave
Unit 4
Chelsea, MA 02150-2309
Mailing address
100 Everett Avenue
Unit 4
Chelsea, MA 02150
Phone (617) 884-6829
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 |
|---|---|---|---|
| 028 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770701625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EVERETT AVENUE",
"address_2": "UNIT 4",
"city": "CHELSEA",
"state": "MA",
"postal_code": "02150",
"telephone_number": "617-884-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EVERETT AVE",
"address_2": "UNIT 4",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502309",
"telephone_number": "617-884-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "AMY",
"middle_name": "LOUISE",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.