Active NPI
Marzett Charles Harris, M.S., LPC, LMHC
- Mental Health Counselor
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH22029
- Practice address
- 34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157 - Phone
- (833) 769-3524
- NPI assigned
- Mar 8, 2006
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2167 | SC | |
| Mental Health Counselor | 101YM0800X | 3658 | LA | |
| Mental Health Counselor | 101YM0800X | 1829 | AL | |
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 2167 | SC | |
| Professional Counselor | 101YP2500X | 1829 | AL | |
| Professional Counselor | 101YP2500X | 3658 | LA | |
| Mental Health Counselor | 101YM0800X | MH22029 | FL | Primary |
Addresses
Primary practice location
34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157
Mailing address
1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455
Phone (318) 202-3706
Other practice location 1
525 Alexander St
Jonesboro, LA 71251-2001
Phone (318) 259-4676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339049067 | Other | AL | DHR MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9400 4TH St N
Suite 200
St Petersburg, FL 33702-2501
Phone (727) 513-2962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1829 | AL | MD | Mental Health Counselor |
| 2167 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Mental Health Services - FL Gulf SW LLC | Current | Accepting new patients | |
| Southeast Psych Services LLC | Mental Health | Current | Accepting new patients |
| Personal Recovery Network LLC | Professional | Current | Accepting new patients |
| Emerald Clover, LLC | Current | Accepting new patients | |
| Professional Hospice Care, L.L.C. | Past | Accepting new patients | |
| Shine Medical Providers PC | Past | Accepting new patients |
Locations
5350 Gulf of Mexico Dr
Ste 203
Longboat Key, FL 34228
Phone (941) 210-0384
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
34650 US Highway 19 N
Ste 206
Palm Harbor, FL 34684
Phone (727) 493-9940
9400 4th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 513-2962
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1972218055
-
- Clinical Social Worker
- Longboat Key, FL
- NPI 1568121267
-
- Community Based Hospice Care Agency
- Ruston, LA
- NPI 1649205261
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1780652685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CHINABERRY DR STE 900",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112455",
"telephone_number": "318-202-3706",
"fax_number": "318-202-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34650 US HIGHWAY 19 N STE 206",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842157",
"telephone_number": "833-769-3524"
}
],
"practiceLocations": [
{
"address_1": "525 Alexander St",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "LA",
"postal_code": "712512001",
"country_code": "US",
"telephone_number": "318-259-4676",
"fax_number": "318-259-4677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "MARZETT",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "M.S., LPC, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "2167",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "3658",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "1829",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "2167",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "1829",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3658",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH22029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHR MEDICAID",
"identifier": "339049067",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.