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MS. MYRA GWEN HARRIS MFT
NPI 1164581724
Marriage & Family Therapist in Vallejo, CA

Active since December 08, 2006PECOS Enrolled
KAISER PERMANENTE 800 SERENO DR., VALLEJO, CA 94589(707) 651-2623(707) 651-2608 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Myra Gwen Harris Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MYRA GWEN HARRIS MFT (NPI 1164581724) is an individual marriage & family therapist in Vallejo, California, licensed in California (MFC32829) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164581724
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MYRA GWEN HARRISCredential: MFT
Location AddressKAISER PERMANENTE 800 SERENO DR.Vallejo, CA 94589
Mailing AddressKaiser Permanente 800 Sereno Dr.Vallejo, CA 94589 · (707) 651-2623 · Fax (707) 651-2608
Phone(707) 651-2623
Fax(707) 651-2608
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1164581724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC32829
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
KAISER PERMANENTE 800 SERENO DR., Vallejo, CA 94589
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Myra Gwen Harris Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Myra Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
0.2 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myra Harris's NPI number?

The NPI number for Myra Harris is 1164581724. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Myra Harris located?

Myra Harris practices at Kaiser Permanente 800 Sereno Dr., Vallejo, CA 94589. The listed phone number is (707) 651-2623.

What is Myra Harris's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Myra Harris enrolled in Medicare?

Yes. Myra Harris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Myra Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myra Harris reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Myra Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Myra Harris was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.