Active NPI
Crystal Y Portee-Harman
- Addiction (Substance Use Disorder) Counselor
- Jacksonville, NC
National Provider Identifier
1851056196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 29478
- Practice address
- 200 Doctors Dr Ste J
Jacksonville, NC 28546-6308 - Phone
- (910) 333-0814
- NPI assigned
- Nov 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29478 | NC | Primary |
Addresses
Primary practice location
200 Doctors Dr Ste J
Jacksonville, NC 28546-6308
Mailing address
200 Doctors Dr Ste J
Jacksonville, NC 28546-6308
Phone (910) 333-0814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743292800000",
"number": "1851056196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 DOCTORS DR STE J",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466308",
"telephone_number": "910-333-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DOCTORS DR STE J",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466308",
"telephone_number": "910-333-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTEE-HARMAN",
"first_name": "CRYSTAL",
"middle_name": "Y",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2025-03-30",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "29478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265E",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.