Active NPI
Virginia T Harris
- Addiction (Substance Use Disorder) Counselor
- Santa Rosa, CA
National Provider Identifier
1821422114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4308-R
- Practice address
- 3315 Airway Dr
Santa Rosa, CA 95403-2005 - Phone
- (707) 523-2242
- Fax
- (707) 546-1937
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4308-R | CA | Primary |
Addresses
Primary practice location
3315 Airway Dr
Santa Rosa, CA 95403-2005
Mailing address
3315 Airway Dr
Santa Rosa, CA 95403-2005
Phone (707) 523-2242
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4308-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1821422114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 AIRWAY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032005",
"telephone_number": "707-523-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 AIRWAY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032005",
"telephone_number": "707-523-2242",
"fax_number": "707-546-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "VIRGINIA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "4308-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.