Active NPI
Kecia Harris
- Clinical Social Worker
- Allen, TX
National Provider Identifier
1922540517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62485
- Practice address
- 100 Allentown Pkwy Ste 206
Allen, TX 75002-4215 - Phone
- (972) 233-1010
- Fax
- (214) 623-6692
- NPI assigned
- Nov 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62485 | TX | Primary |
Addresses
Primary practice location
100 Allentown Pkwy Ste 206
Allen, TX 75002-4215
Mailing address
105 Rustler Cir
Harker Heights, TX 76548-8905
Phone (254) 630-3376
Other practice location 1
105 Rustler Cir
Harker Heights, TX 76548-8905
Phone (254) 630-3376
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62485 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1922540517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 RUSTLER CIR",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765488905",
"telephone_number": "254-630-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ALLENTOWN PKWY STE 206",
"city": "ALLEN",
"state": "TX",
"postal_code": "750024215",
"telephone_number": "972-233-1010",
"fax_number": "214-623-6692"
}
],
"practiceLocations": [
{
"address_1": "105 Rustler Cir",
"address_purpose": "LOCATION",
"city": "Harker Heights",
"state": "TX",
"postal_code": "765488905",
"country_code": "US",
"telephone_number": "254-630-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "KECIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.