FREDERICK HARRIS (NPI# 1093245961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093245961 |
| Entity Type | Individual |
| Full Name | FREDERICK HARRIS |
| Practice Address |
49 Kessel Ct Madison WI 53711 |
| Mailing Address |
25 Kessel Ct Madison WI 53711-6227 |
| Practice Telephone | 6082802700 |
| Mailing Telephone | 6082802700 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6374-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730151127 | Frederick R Harris | Optometrist | 1941 Huntington Dr, Suite F, South Pasadena, CA 91030-4967 | 2006-02-02 |
| 1447478755 | Frederick R Harris Jr. | Internal Medicine | 2020 Exeter Rd, Germantown, TN 38138-3945 | 2007-04-23 |
| 1881716827 | Frederick Bernard Harris | Neurological Surgery | 1000 W 140th St Unit 201, Burnsville, MN 55337 | 2007-04-03 |
| 1447313176 | Frederick Baird Harris | Preventive Medicine | Usameddac Wuerzburg, 12th Combat Aviation Brigade, Apo, AE 09250 | 2006-12-17 |
| 1124034657 | Frederick D. Harris Jr. | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-08-01 |
| 1831147859 | Frederick D Harris | Internal Medicine | 5 Severance Cir, Suite 505, Cleveland Heights, OH 44118-1566 | 2006-05-04 |
| Street Address |
49 KESSEL CT |
| City | MADISON |
| State | WI |
| Zip Code | 53711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457412744 | Eric Heiligenstein | Psychiatry & Neurology | 49 Kessel Ct, Madison, WI 53711-6275 | 2006-12-12 |
| 1396350922 | Benjamin Glad | Counselor | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-09-10 |
| 1588279327 | Stephanie M Campbell | Counselor | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-09-09 |
| 1245844307 | Sophia Candida Ferreira Dodge | Counselor | 49 Kessel Ct, Madison, WI 53711-6275 | 2020-09-04 |
| 1780202200 | Aaron S. Katcher | Case Manager/Care Coordinator | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-07-10 |
| 1477178986 | Kailin Kauffman-jewell | Social Worker | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-06-10 |
| 1124642194 | Molly Margeaux Roberts | Social Worker | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-06-04 |
| 1982228292 | Sonya Myers | Counselor | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-06-02 |
| 1922622349 | Jordan J Dennison | Counselor | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-06-01 |
| 1093359812 | Grace Elizabeth Allen | Case Manager/Care Coordinator | 49 Kessel Ct, Madison, WI 53711-6200 | 2019-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
| 1811522253 | Sandra Bruno | Counselor | 102 Wesly Clark Blvd, Madison, AL 35756-4028 | 2020-03-05 |
| 1750915047 | Marina Macgillivray | Counselor | 2009 E Dayton St, Madison, WI 53704-4720 | 2020-02-26 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1851954713 | Michael Allen Hetts | Counselor | Madison East Ctc, 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-04-17 |
| 1205333671 | Michele Lee Nusker | Counselor | 1733 Stirling Rd, Madison, OH 44057-2030 | 2018-04-11 |
| 1609378546 | Impact Behavioral Counseling LLC | Counselor | 20 Hughes Rd Ste 101-b, Madison, AL 35758-2237 | 2018-03-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1669837498 | Gregory Cox | Counselor | 313 Price Pl Ste 101, Madison, WI 53705-3262 | 2015-12-21 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.