Active NPI
Blaise Harris
- Mental Health Counselor
- Garner, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A15547
- Practice address
- 69 Shipwash Dr
Garner, NC 27529-6860 - Phone
- (919) 772-1990
- NPI assigned
- Feb 19, 2020
- Last updated
- Feb 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A15547 | NC | Primary |
Addresses
Primary practice location
69 Shipwash Dr
Garner, NC 27529-6860
Mailing address
69 Shipwash Dr
Garner, NC 27529-6860
Phone (919) 772-1990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
132 Whispering Hills LN
Chesnee, SC 29323-7915
4220 Holden Rd
Raleigh, NC 27616-8917
817 Lusterleaf PL
Wendell, NC 27591-6517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15547 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Counseling and Consulting | Mental Health | Current | Accepting new patients |
Locations
7048 Knightdale Blvd
Ste 250
Knightdale, NC 27545
Phone (919) 438-2674
400 Seven Hills Annex Rd W
Ste 204
Wilson, NC 27893
Phone (919) 737-2166
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1871126755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 SHIPWASH DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275296860",
"telephone_number": "919-772-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 SHIPWASH DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275296860",
"telephone_number": "919-772-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BLAISE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.