Carmen Harris

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9968 Issued in TX

Practice address

1012 W Macarthur Ave
Odessa, TX 79763-3341

Phone

(432) 335-9659

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alpine, TX
  • NPI 1851464119

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1881176766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ILLINOIS AVE STE 300",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797014881",
            "telephone_number": "432-570-3342",
            "fax_number": "432-570-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W MACARTHUR AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797633341",
            "telephone_number": "432-335-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CHEMICAL DEPENDENCY COUNSELOR",
            "identifier": "9968",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Garet Hanselman, PA-C
• Darla J Hanson, CMF
• Kevin S Harbourne, MD
• Harmony Home Child Advocacy Center
• James Harper, O.D.
• Norman Harris, MD
• Shawn Collins Harris, APRN, FNP-C
• Shelley Ann Harris, RN
• Tammy Lynn Harris
• Teresa Hartman, RPH

• Addiction (Substance Use Disorder) Counselor in Odessa, TX
• Providers in Odessa, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.