Memendra Page Harris, M.ED, LPC, NCC, MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3405 Issued in AL

Practice address

6708 Taylor Cir
Montgomery, AL 36117-3411

Phone

(334) 333-2744

NPI assigned

Oct 23, 2018

Reactivated

Feb 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• Summerlane Counseling LLC

  • Professional Counselor
  • Montgomery, AL
  • NPI 1679285365

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1881160281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 EXCELSIOR DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174514",
            "telephone_number": "334-413-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 TAYLOR CIR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173411",
            "telephone_number": "334-333-2744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Broad St",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367014556",
            "country_code": "US",
            "telephone_number": "334-413-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MEMENDRA",
        "middle_name": "PAGE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC, NCC, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "deactivation_date": "2022-12-14",
        "reactivation_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank M Harris, D.C.
• Jason Harris, P.T.
• John Andrew Harris, DMD
• Leslie Harris Jr., MD
• Lynn Harris, EDS, LPC
• Olivia Harris
• Paige C Harris, CRNP
• Rosie Thornton Harris, ALC
• Tamika Harris
• Tasharia Janay Harris, MDIV

• All providers in Montgomery, AL
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.