James Harris II
Individual provider Active NPI Mental Health Counselor · Clarkston, GA
NPI 1922436757 · NPPES record last updated Oct 14, 2013
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2023.
Key facts
- NPI
- 1922436757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CSW004928 (GA)
- Practice address
- 945 N Indian Creek Dr
Clarkston, GA 30021-2221 - Phone
- (404) 298-9005
- NPI assigned
- Oct 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004928 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Growth Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW004928 | GA | Yes |
Addresses
Primary practice location
945 N Indian Creek Dr
Clarkston, GA 30021-2221
Mailing address
945 N Indian Creek Dr
Clarkston, GA 30021-2221
Phone (404) 298-9005
Other providers in Clarkston, GA
- Giselle Learning Academy LLC
- Greater Atlanta Family Healthcare LLC
- Daniel A Guiles
- Tisha Hadaway
- Janet Hampton-Wynn
- Calvert Harrison
- Thomas Doyle Harvey
- Stephanie M Henry
- Here for U Healthcare LLC
- Holistic2Health Wellness Center LLC
All providers in Clarkston, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.