Angelle Kemyra Harris, MPA-MSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

114328 Issued in TX

Practice address

1880 S Dairy Ashford Rd Ste 207
Houston, TX 77077-4759

Phone

(832) 409-7242

NPI assigned

Jun 19, 2017

Last updated

Feb 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Retrospective Wellness LLC

  dba Retrospective Wellness Group

  • Case Management Agency
  • Houston, TX
  • NPI 1356199053

  Community Health Worker

  NPD Authorized official
• Retrospective Wellness LLC

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1679448534
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1861922148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WESTWAY PL STE 530",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181000",
            "telephone_number": "817-516-9100",
            "fax_number": "817-516-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774759",
            "telephone_number": "832-409-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Westway Pl Ste 530",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760181000",
            "country_code": "US",
            "telephone_number": "817-516-9100",
            "fax_number": "817-516-9102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANGELLE",
        "middle_name": "KEMYRA",
        "credential": "MPA-MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "114328",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "19899",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "114328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nicole Harris-McConico, LPC
• Trisha Michelle Harris-Odimgbe, PA
• Abby Nicole Harris, FNP-C
• Aida Marie Christine Harris, AA
• Andrea Harris, M.D.
• Annette Harris, MD
• April Harris, DSC. ATC, LAT
• Arletta Yvette Harris
• Armani Janee Harris
• Ashley D Harris, LPC ASSOCIATE

• Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.