Active NPI
Judith Ann Harris, LPCC
- Counselor
- Albuquerque, NM
National Provider Identifier
1962640409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0076001
- Practice address
- 1503 University Blvd NE
Albuquerque, NM 87102-1708 - Phone
- (505) 243-2551
- NPI assigned
- Jan 21, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0076001 | NM | Primary |
Addresses
Primary practice location
1503 University Blvd NE
Albuquerque, NM 87102-1708
Mailing address
20 Williams Blvd
Edgewood, NM 87015-7463
Phone (505) 286-4082
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0076001 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1962640409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WILLIAMS BLVD",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "870157463",
"telephone_number": "505-286-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 UNIVERSITY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021708",
"telephone_number": "505-243-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0076001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.