Active NPI
Sandra Harris, BS,MS,LPC,BCPC
- Professional Counselor
- Detroit, MI
National Provider Identifier
1972977312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009463
- Practice address
- 17238 Sunderland Rd
Detroit, MI 48219-4201 - Phone
- (313) 282-3974
- NPI assigned
- Nov 23, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401009463 | MI | Primary |
Addresses
Primary practice location
17238 Sunderland Rd
Detroit, MI 48219-4201
Mailing address
17238 Sunderland Rd
Detroit, MI 48219-4201
Phone (313) 282-3974
Other names 1
- Ms. Sandra Harris
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
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009463 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1972977312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17238 SUNDERLAND RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194201",
"telephone_number": "313-282-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17238 SUNDERLAND RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194201",
"telephone_number": "313-282-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SANDRA",
"credential": "BS,MS,LPC,BCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "HARRIS",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.