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SUMMYR NICKOLE HARRIS
NPI 1194154146
Counselor - Professional in San Jose, CA

Active since November 09, 2013PECOS Enrolled
50 DEARWELL WAY, SAN JOSE, CA 95138(209) 829-8039 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, May 19, 2021, Jun 10, 2020 and 2 more (5 updates tracked since 2019).

About Summyr Nickole Harris NPPES

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

SUMMYR NICKOLE HARRIS (NPI 1194154146) is an individual professional provider in San Jose, California, licensed in California (LPCC-16097) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194154146
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUMMYR NICKOLE HARRIS
Location Address50 DEARWELL WAYSan Jose, CA 95138-1608
Mailing Address2750 Sutterville RdSacramento, CA 95820-1093 · (916) 452-3981 · Fax (916) 226-2804
Phone(209) 829-8039
Sole ProprietorYes
Enumeration DateNovember 9, 2013
Last NPPES UpdateMarch 4, 20255 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1194154146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC-16097
Also ListedCounselorTaxonomy 101Y00000X · License 7187 (CA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC7187 (CA)
50 DEARWELL WAY, San Jose, CA 95138
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summyr Nickole Harris 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 Summyr Harris's NPI number?

The NPI number for Summyr Harris is 1194154146. It was assigned to this individual provider in the NPPES registry on November 9, 2013.

Where is Summyr Harris located?

Summyr Harris practices at 50 Dearwell Way, San Jose, CA 95138. The listed phone number is (209) 829-8039.

What is Summyr Harris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Summyr Harris enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Summyr Harris was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.