Jessica Laurel Harrison, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

139675 Issued in AK

Practice address

1825 Academy Dr
Anchorage, AK 99507-5391

Phone

(907) 522-7080

Fax

(907) 522-7088

NPI assigned

Nov 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Health AssociatesGroup PAC ID 7517950686, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christian Health Associates

  • Mental Health Counselor
  • Anchorage, AK
  • NPI 1891911673
  Medicare reassignment Care Compare group NPD
• Christian Health Associates

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
  • NPI 1114571635
  NPD
• Christian Health Associates

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1952483679
  NPD

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1811409592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 ACADEMY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075391",
            "telephone_number": "907-522-7080",
            "fax_number": "907-522-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 ACADEMY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075391",
            "telephone_number": "907-522-7080",
            "fax_number": "907-522-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JESSICA",
        "middle_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60768994",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "139675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Harris, LPN
• Ralyssa Harris
• Zuleima Harris
• Bella M Harrison
• Jennifer M. Harrison, PT
• Jonathan Harrison, PHARMD
• Kerstin Harrison, RN
• La'Tia Harrison
• Marcia Harrison
• Rachael Marie Harrison, M.D.

• Psychologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.

Verify at the official NPI Registry.