Individual provider Active NPI

Marzett Charles Harris, M.S., LPC, LMHC

  • Mental Health Counselor
  • Palm Harbor, FL
National Provider Identifier
1780652685
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22029 Issued in FL
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

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
339049067OtherALDHR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702003852 FL Practitioner - Mental Health Counselor 5597278473 Reassigns benefits to 3 organizations

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
Emerald Clover, LLCGroup PAC ID 5496290033, 14 clinicians

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

LicenseStateTypeSpecialty
1829ALMDMental Health Counselor
2167SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Mental Health Services - FL Gulf SW LLC CurrentSince Jun 18, 2025 Accepting new patients
Southeast Psych Services LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Personal Recovery Network LLC Professional CurrentSince Feb 11, 2024 Accepting new patients
Emerald Clover, LLC CurrentSince Sep 1, 2025 Accepting new patients
Professional Hospice Care, L.L.C. PastSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.