Individual provider Active NPI

Debra Harkness, LCPC

  • Professional Counselor
  • Bath, ME
National Provider Identifier
1770812471
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC3903 Issued in ME
Practice address
141 Centre St
Bath, ME 04530-2547
Phone
(207) 332-9339
NPI assigned
Dec 9, 2009
Last updated
Apr 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC3903 ME Primary

Addresses

Primary practice location

141 Centre St
Bath, ME 04530-2547

Mailing address

141 Centre St
Bath, ME 04530-2547
Phone (207) 332-9339

Other names 1

  • Johannah Harkness Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211002803 ME Practitioner - Mental Health Counselor 6608302898 Practice locations: Bath, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC3903MEMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1770812471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302547",
            "telephone_number": "207-332-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302547",
            "telephone_number": "207-332-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKNESS",
        "first_name": "DEBRA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNAH",
            "last_name": "HARKNESS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bath, ME

Sources for this page

Verify at the official NPI Registry.