Individual provider Active NPI

Karina Demi Harris, LCSW

  • Social Worker
  • Soledad, CA
National Provider Identifier
1881202000
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117125 Issued in CA
Practice address
31625 Highway 101 S
Soledad, CA 93960-9529
Phone
(831) 678-5500
NPI assigned
Jul 14, 2020
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X 117125 CA Primary
Clinical Social Worker 1041C0700X NU
Student in an Organized Health Care Education/Training Program 390200000X 96453 CA

Addresses

Primary practice location

31625 Highway 101 S
Soledad, CA 93960-9529

Mailing address

PO Box 1568
Monterey, CA 93942-1568
Phone (858) 254-7557

Other practice location 1

US 101
Soledad, CA 93960
Phone (858) 254-7557

Other practice location 2

734 10th Ave
San Diego, CA 92101-6502
Phone (619) 239-4663

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

LicenseStateTypeSpecialty
117125CAMDSocial Worker
96453CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc PastSince Aug 1, 2020 Accepting new patients
Community Research Foundation Inc Clinical PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1881202000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939421568",
            "telephone_number": "858-254-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 HIGHWAY 101 S",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939609529",
            "telephone_number": "831-678-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "US 101",
            "address_purpose": "LOCATION",
            "city": "Soledad",
            "state": "CA",
            "postal_code": "93960",
            "country_code": "US",
            "telephone_number": "858-254-7557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "734 10th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921016502",
            "country_code": "US",
            "telephone_number": "619-239-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KARINA",
        "middle_name": "DEMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "117125",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "96453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soledad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.