Active NPI
Kimberly Dunbar Harris, MS
- Professional Counselor
- Greenville, NC
National Provider Identifier
1902917461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5404
- Practice address
- 625 Lynndale CT
Suite B
Greenville, NC 27858-5463 - Phone
- (252) 902-6481
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5404 | NC | Primary |
Addresses
Primary practice location
625 Lynndale CT
Suite B
Greenville, NC 27858-5463
Mailing address
809 Brickyard CT
Greenville, NC 27858-0841
Phone (252) 752-6266
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919000284 | NC | Practitioner - Mental Health Counselor | 8224579149 | Practice locations: Greenville, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 Commerce St
Suite a
Greenville, NC 27858-5036
Phone (252) 902-6481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902917461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 BRICKYARD CT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278580841",
"telephone_number": "252-752-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 LYNNDALE CT",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585463",
"telephone_number": "252-902-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KIMBERLY",
"middle_name": "DUNBAR",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.