EDWARD HARRIS JR. (NPI# 1164975546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164975546 |
| Entity Type | Individual |
| Full Name | EDWARD HARRIS JR. |
| Practice Address |
1121 E Mcnichols Rd Detroit MI 48203-2857 |
| Practice Telephone | 3133653113 |
| Practice Fax Number | 3133653098 |
| Mailing Telephone | 3133653113 |
| Mailing Fax Number | 3133653098 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668270 | Edward Todd Harris IIi | Counselor | 224 Oakridge Ave, Buffalo, NY 14217-1165 | 2020-01-17 |
| 1518224963 | Edward Harris | Home Health Aide | 4921 Bloomfield Dr, Apt L, Trotwood, OH 45426 | 2012-04-23 |
| 1215244405 | Edward Flynn Harris | Dentist | 1433 Heather Ln Ste C, Suite C, Charlotte, NC 28209-2563 | 2010-09-09 |
| 1790925550 | Edward Michael Harris | Chore Provider | 409 W 145th St, 503, New York, NY 10031-5200 | 2009-03-05 |
| 1528277332 | Edward F. Harris | Dentist | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-21 |
| 1255395448 | Edward I Harris | Podiatrist | 20 Prospect Ave Ste 803, Hackensack, NJ 07601-1999 | 2006-04-14 |
| 1093331035 | Edward Harris | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-06-24 |
| 1780206433 | Edward B Harris | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-05-15 |
| 1629548003 | Edward Lee Harris | Case Manager/Care Coordinator | 3780 Rosin Ct Ste 130, Sacramento, CA 95834-1644 | 2018-11-28 |
| 1437694270 | Edward G Harris | Nurse Practitioner | 4900 Houston Rd, Florence, KY 41042 | 2017-01-04 |
| Street Address |
1121 E MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043302730 | John Lewis Eberhart | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2006-09-29 |
| 1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1467060368 | Diane Lassiter | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-16 |
| 1487262580 | Kenneth Mccoy | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-15 |
| 1780220632 | Mary Margaret Fleury | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1992341846 | Roberta Wilson | Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1255977104 | Debra Roberts | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1952947806 | Dwayne Frank Muhammad | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1821633371 | April Marie Doss | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143046 | Comforting Adult Services LLC | Counselor | 14559 Monica St, Detroit, MI 48238-1953 | 2020-01-18 |
| 1235779406 | Jacqueline Yvetter Smith Davis | Counselor | 16609 Archdale St, Detroit, MI 48235-3416 | 2020-01-15 |
| 1033767843 | Shawn Alecia Mccoy | Counselor | 3600 3rd St Apt 1004, Detroit, MI 48201-2337 | 2019-08-27 |
| 1013472745 | Shyfirska Emery | Counselor | 13700 Linnhurst St, Detroit, MI 48205-2885 | 2019-02-06 |
| 1871060368 | Taia Sardinas | Counselor | 7251 E Congress St Apt 307, Detroit, MI 48214-2395 | 2018-11-01 |
| 1639668387 | Debora Lynn Howard | Counselor | 17200 Rowe St, Detroit, MI 48205-3120 | 2018-05-08 |
| 1932698669 | Alexis J Terry | Counselor | 5555 Conner St Ste 2210, Detroit, MI 48213-3496 | 2018-05-08 |
| 1245739614 | Chavela Bryant | Counselor | 18659 Griggs St, Detroit, MI 48221-1907 | 2018-02-12 |
| 1962901835 | Kendra Sibert | Counselor | 5112 Beaubien St, Detroit, MI 48202-4107 | 2018-02-06 |
| 1649787714 | Katrina Frazier | Counselor | 19968 Hubbell St, Detroit, MI 48235-1603 | 2018-01-10 |
| Find all providers in DETROIT | ||||
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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.