MRS. KELLY HARRIS (NPI# 1982904314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982904314 |
| Entity Type | Individual |
| Full Name | MRS. KELLY HARRIS |
| Credential | MA.ED |
| Practice Address |
631 Arbor Road Winston-salem NC 27104 |
| Practice Telephone | 3369714540 |
| Mailing Telephone | 3369714540 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3826 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199057 | Kelly M Harris | Counselor | 2531 Briarcliff Rd Ne Ste 203, Atlanta, GA 30329-3017 | 2019-11-19 |
| 1316590755 | Kelly Harris | Dentist | 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 | 2019-07-23 |
| 1801331715 | Kelly Harris | Technician, Other | 9266 Louis, Redford, MI 48239-1732 | 2017-01-01 |
| 1669827697 | Kelly Wolenberg Harris | Student in an Organized Health Care Education/Training Program | 3600 Forbes Ave Bldg Suite405, Pittsburgh, PA 15213-3410 | 2016-04-27 |
| 1851753255 | Kelly Rae Harris | Registered Nurse | 16515 S 40th St Ste 135, Phoenix, AZ 85048-0560 | 2016-03-24 |
| 1184830648 | Kelly Jo Harris | Speech-Language Pathologist | 961 Brunswick Cir, Schaumburg, IL 60193-4250 | 2007-05-14 |
| 1326168956 | Kelly Marie Harris | Speech-Language Pathologist | 404 Sw Talquin Ln, Port Saint Lucie, FL 34986-2062 | 2007-03-29 |
| 1932231032 | Kelly Rae Harris | Counselor | 2510 Chickasaw Blvd., Medical Family Therapy, Ardmore, OK 73401 | 2007-03-12 |
| 1760528491 | Kelly M Harris | Speech-Language Pathologist | 1524 S Big Bend Blvd, Saint Louis, MO 63117-2206 | 2007-01-29 |
| 1851467559 | Kelly D Harris | Chiropractor | 211 S Woodruff Ave Ste B, Idaho Falls, ID 83401-4369 | 2006-11-27 |
| Street Address |
631 ARBOR ROAD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| 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 |
|---|---|---|---|---|
| 1407292196 | Kentrell Pittman | Counselor | 8011 Northpoint Blvd Suite F, Winston-salem, NC 27106 | 2013-05-21 |
| 1811246994 | Rita Nickens-silva | Counselor | 1014 Hawk Ridge Circle, Winston-salem, NC 27102 | 2012-09-05 |
| 1265736847 | Jo-anne P. Abel | Counselor | 725 N. Highland Ave., Winston-salem, NC 27101-4206 | 2010-12-22 |
| 1699944306 | Karan Smith Montgomery | Counselor | 1900 S. Hawthorne Road, Suite 622 Novant Health, Winston-salem, NC 27103-3013 | 2008-02-27 |
| 1740223437 | Mary O Sotile | Counselor | 1396 Old Mill Circle, Sotile Psychological Associates, Pllc, Winston-salem, NC 27103 | 2006-06-13 |
| 1811975782 | Michael Neil Hayes | Counselor | 4142 Robinhood Rd, Winston-salem, NC 27106-4739 | 2006-01-02 |
| 1588640916 | Lawrence Anderson Moretz | Counselor | 115 N Poplar St, Winston-salem, NC 27101-3741 | 2005-12-18 |
| 1073862017 | Jennifer C Connolly | Counselor | 725 N. Highland Ave, 2nd Floor, Winston-salem, NC 27101-4206 | 2012-09-06 |
| 1912101221 | John Donnald Foster | Counselor | Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157-1099 | 2007-06-12 |
| 1861420317 | Richard Leeds Martin | Counselor | 1396 Old Mill Circle, Sotile Psychological Associates, Pllc, Winston-salem, NC 27103 | 2006-06-30 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27104 |
Please comment or provide details below to improve the information on MRS. KELLY HARRIS.
| 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.