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: July 26, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Myra Harris was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.