Active NPI
Sandra Arnette Harris, LPC-A
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1902681224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 90768
- Practice address
- 1910 Pacific Ave
Dallas, TX 75201-4529 - Phone
- (214) 643-6820
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- 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 | 90768 | TX | Primary |
Addresses
Primary practice location
1910 Pacific Ave
Dallas, TX 75201-4529
Mailing address
2140 Medical District Dr Apt 1078
Dallas, TX 75235-8085
Phone (347) 944-4118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251021004756 | TX | Practitioner - Mental Health Counselor | 4880182930 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 25TH Ave N
Suite 204
Texas City, TX 77590-5278
2119 Meadow Wind Dr
Houston, TX 77089-1469
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90768 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1902681224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 MEDICAL DISTRICT DR APT 1078",
"city": "DALLAS",
"state": "TX",
"postal_code": "752358085",
"telephone_number": "347-944-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 PACIFIC AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014529",
"telephone_number": "214-643-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SANDRA",
"middle_name": "ARNETTE",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "90768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.