Individual provider Active NPI

Lindsay B Harris, LPC-MHSP

  • Professional Counselor
  • Brentwood, TN
National Provider Identifier
1770763393
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000005742 Issued in TN
Practice address
1604 Westgate Cir Ste 150
Brentwood, TN 37027-8047
Phone
(630) 678-2820
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180 006675 IL
Professional Counselor 101YP2500X LPC0000005742 TN Primary

Addresses

Primary practice location

1604 Westgate Cir Ste 150
Brentwood, TN 37027-8047

Mailing address

1604 Westgate Cir Ste 150
Brentwood, TN 37027-8047
Phone (630) 678-2820

Other practice location 1

445 W Jackson Ave Ste 206
Naperville, IL 60540-5258
Phone (630) 420-2596

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

LicenseStateTypeSpecialty
180 006675ILMDProfessional Counselor
LPC0000005742TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1770763393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 WESTGATE CIR STE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278047",
            "telephone_number": "630-678-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 WESTGATE CIR STE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278047",
            "telephone_number": "630-678-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 W Jackson Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405258",
            "country_code": "US",
            "telephone_number": "630-420-2596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDSAY",
        "middle_name": "B",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180 006675",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000005742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.