Active NPI
Rachel Justine Harris
- Social Worker
- Fairmont, WV
National Provider Identifier
1851165807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW102316884
- Practice address
- 207 Fairmont Ave
Fairmont, WV 26554-2710 - Phone
- (681) 404-6869
- NPI assigned
- Nov 9, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW102316884 | WV | Primary |
Addresses
Primary practice location
207 Fairmont Ave
Fairmont, WV 26554-2710
Mailing address
203 Plainview Ave
Fairmont, WV 26554-1853
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 |
|---|---|---|---|
| SW102316884 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Counseling Center LLC | Social Worker | Current | Accepting new patients |
Locations
207 Fairmont Ave
Fairmont, WV 26554
Phone (681) 404-6869
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": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1851165807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 PLAINVIEW AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542710",
"telephone_number": "681-404-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "RACHEL",
"middle_name": "JUSTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "SW102316884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.