Individual provider Active NPI

Linda Sue Harriss, RN, LPC

  • Professional Counselor
  • Brownwood, TX
National Provider Identifier
1811962236
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12723 Issued in TX
Practice address
2421 Austin Ave
Brownwood, TX 76801-4929
Phone
(325) 646-2155
Fax
(325) 643-1105
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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 12723 TX Primary

Addresses

Primary practice location

2421 Austin Ave
Brownwood, TX 76801-4929

Mailing address

PO Box 505
Brownwood, TX 76804-0505
Phone (325) 646-2155

Other identifiers 5

IdentifierTypeStateIssuer
0005261563OtherTXAETNA
152891OtherTXVALUE OPTIONS PROVIDER
26928OtherTXSCOTT & WHITE PROVIDER
2889LCOtherTXBLUE CROSS/BLUE SHIELD
TX124456-0001OtherTXTEXAS CHIPS PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250217002695 TX Practitioner - Mental Health Counselor 2769902063 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
12723TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harriss Center for Counseling and Development, PA Professional CurrentSince Dec 17, 2024 Accepting new patients

Locations

2421 Austin Ave
Brownwood, TX 76801
Phone (325) 646-2155

Organizations & group practices 1

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1811962236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768040505",
            "telephone_number": "325-646-2155",
            "fax_number": "325-643-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 AUSTIN AVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768014929",
            "telephone_number": "325-646-2155",
            "fax_number": "325-643-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISS",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005261563",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER",
            "identifier": "152891",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE PROVIDER",
            "identifier": "26928",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2889LC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIPS PLAN",
            "identifier": "TX124456-0001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.