Individual provider Active NPI

Jessica Elaine Harris, LPC-ASSOCIATE

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1790595650
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
97439 Issued in TX
Practice address
4099 McEwen Rd Ste 610
Dallas, TX 75244-5042
Phone
(214) 471-5182
NPI assigned
Jan 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 97439 TX Primary

Addresses

Primary practice location

4099 McEwen Rd Ste 610
Dallas, TX 75244-5042

Mailing address

4315 Scottsdale Dr
Mesquite, TX 75150-1621
Phone (972) 358-7703

Other practice location 1

870 Hebron Pkwy Ste 701
Lewisville, TX 75057-5266
Phone (866) 924-7223

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
97439TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1790595650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 SCOTTSDALE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501621",
            "telephone_number": "972-358-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445042",
            "telephone_number": "214-471-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Hebron Pkwy Ste 701",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750575266",
            "country_code": "US",
            "telephone_number": "866-924-7223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "97439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.