Individual provider Active NPI

Katherine Harris, CLINICAL SOCIAL WORK

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1912658733
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023021179 Issued in MO
Practice address
1707 E Cedar St Ste 102
Olathe, KS 66062-1886
Phone
(913) 283-5194
NPI assigned
Jan 13, 2022
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10161 KS
Clinical Social Worker 1041C0700X 2023021179 MO Primary
Clinical Social Worker 1041C0700X TPSW4430 FL
Clinical Social Worker 1041C0700X 06026 KS

Addresses

Primary practice location

1707 E Cedar St Ste 102
Olathe, KS 66062-1886

Mailing address

1035 Johanna Dr
Ballwin, MO 63021-6436
Phone (913) 915-9154

Other names 1

  • Katie Harris Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206003156 MO Practitioner - Clinical Social Worker 6305372806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63133
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10161KSMDSocial Worker
TPSW4430FLMDClinical Social Worker
06026KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6907 Page Ave
Saint Louis, MO 63133
Phone (317) 480-0421

Organizations & group practices 1

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1912658733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 JOHANNA DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216436",
            "telephone_number": "913-915-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E CEDAR ST STE 102",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621886",
            "telephone_number": "913-283-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATHERINE",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10161",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023021179",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW4430",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HARRIS",
            "credential": "CLINICAL SOCIAL WORK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.