Individual provider Active NPI

Shaquandria Quintinette Harris, LPC-A

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1831852599
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8698 Issued in SC
Practice address
200 Springtree Dr Ste 200
Columbia, SC 29223-8614
Phone
(803) 722-4975
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 8698 SC Primary

Addresses

Primary practice location

200 Springtree Dr Ste 200
Columbia, SC 29223-8614

Mailing address

PO Box 181
Richburg, SC 29729-0181
Phone (803) 374-4090

Other identifiers 1

IdentifierTypeStateIssuer
1568476885MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shaquandria.harris@scdmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241121004283 SC Practitioner - Mental Health Counselor 6002341419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8698SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Services Mental Health CurrentSince Sep 19, 2024 Accepting new patients
Real Connections Counseling and Wellness LLC Mental Health Past Accepting new patients

Locations

508 Bethel St
Clover, SC 29710
Phone (803) 526-5227

852 Gold Hill Rd
Ste 204
Fort Mill, SC 29708
Phone (803) 228-4038

Organizations & group practices 2

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1831852599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "RICHBURG",
            "state": "SC",
            "postal_code": "297290181",
            "telephone_number": "803-374-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGTREE DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238614",
            "telephone_number": "803-722-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHAQUANDRIA",
        "middle_name": "QUINTINETTE",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568476885",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaquandria.harris@scdmh.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "524 Doctors Ct",
            "city": "Chester",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297068644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.