Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARL RAYE HARBISON JR.
NPI 1174098115
Counselor - Mental Health in Poplar Bluff, MO

Active since October 05, 2018PECOS Enrolled
2210 BARRON RD STE 120, POPLAR BLUFF, MO 63901(573) 785-6536(573) 785-0100 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Oct 5, 2018 (2 updates tracked since 2018).

About Carl Raye Harbison Jr. NPPES

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

CARL RAYE HARBISON JR. (NPI 1174098115) is an individual mental health provider in Poplar Bluff, Missouri, licensed in Missouri (2018037840) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains 22 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174098115
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCARL RAYE HARBISON JR.
Location Address2210 BARRON RD STE 120Poplar Bluff, MO 63901-1922
Mailing Address110 S 2nd StEllington, MO 63638-9400 · (573) 663-2313 · Fax (573) 663-2441
Fax(573) 785-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 5, 2018
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1174098115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MO · 2018037840
2210 BARRON RD STE 120, Poplar Bluff, MO 63901

Secondary Practice Locations 22

Location 117959 Main StEminence, MO 65466-6375 · Phone (573) 226-5505 · Fax (573) 226-1256
Location 2225 Physicians Park Ste 304Poplar Bluff, MO 63901-3930 · Phone (573) 727-5500 ext. 7 · Fax (573) 399-2646
Location 3109 Plum St Ste BDoniphan, MO 63935-1225 · Phone (573) 351-0220 · Fax (573) 996-2246
Location 461 Highway YEllington, MO 63638-7802 · Phone (573) 663-2525 · Fax (573) 663-7844
Location 5315 W Mulberry Ste APilot Knob, MO 63663-7883 · Phone (573) 546-0602 · Fax (573) 546-0546
Location 6109 Plum St Ste ADoniphan, MO 63935-1225 · Phone (573) 351-0150 · Fax (573) 996-2245
Location 71 Hals Plz Ste APiedmont, MO 63957-1631 · Phone (573) 223-4800 · Fax (573) 223-7911
Location 8109 LeRoux StDoniphan, MO 63935-1038 · Phone (573) 996-2136 · Fax (573) 996-5216
Location 93277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536
Location 10289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493
Location 112300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 ext. 16044 · Fax (573) 413-4506
Location 121300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194
Location 1311001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581
Location 14225 Physicians Park Ste 200Poplar Bluff, MO 63901-3921 · Phone (573) 727-5500 ext. 5 · Fax (573) 313-3684
Location 15220 East Broad StreetNaylor, MO 63953 · Phone (573) 399-2311 · Fax (573) 399-2076
Location 16711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 ext. 13040 · Fax (573) 413-4192
Location 17405 Main StreetVan Buren, MO 63965 · Phone (573) 323-4253 · Fax (573) 323-0154
Location 18101 E Batten StreetNaylor, MO 63901 · Phone (573) 804-1779 · Fax (573) 804-1789
Location 19603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487
Location 202879 James BlvdPoplar Bluff, MO 63901-3395 · Phone (573) 609-8800 · Fax (573) 776-6124
Location 21225 Physicians Park Ste 102Poplar Bluff, MO 63901-3918 · Phone (573) 727-5500 ext. 2 · Fax (573) 413-4609
Location 22202 Allen StAnnapolis, MO 63620-8778 · Phone (573) 598-4213 · Fax (573) 598-1101

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carl Raye Harbison Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315380383
PECOS Enrollment IDI20240206004221
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
Clinic/Center (Federally Qualified Health Center (FQHC))
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
Counselor (Professional)
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
Psychologist (Clinical)
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
Internal Medicine
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901

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 Carl Harbison's NPI number?

The NPI number for Carl Harbison is 1174098115. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Where is Carl Harbison located?

Carl Harbison practices at 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901. The listed phone number is (573) 785-6536.

What is Carl Harbison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carl Harbison enrolled in Medicare?

Yes. Carl Harbison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carl Harbison accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Carl Harbison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl Harbison was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.