Active NPI
Willie Harris
- Mental Health Counselor
- Tallahassee, FL
National Provider Identifier
1972186435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18677
- Practice address
- 2905 Pontiac Dr
Tallahassee, FL 32301-7045 - Phone
- (850) 405-0249
- NPI assigned
- May 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9327337 | FL | |
| Mental Health Counselor | 101YM0800X | MH18677 | FL | Primary |
Addresses
Primary practice location
2905 Pontiac Dr
Tallahassee, FL 32301-7045
Mailing address
2905 Pontiac Dr
Tallahassee, FL 32301-7045
Phone (832) 314-5732
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 |
|---|---|---|---|
| MH18677 | FL | MD | Mental Health Counselor |
| RN9327337 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1972186435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 PONTIAC DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323017045",
"telephone_number": "832-314-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 PONTIAC DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323017045",
"telephone_number": "850-405-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "WILLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9327337",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.