WILLIE HARRIS
NPI 1649638164
Counselor - Professional in Portland, OR

Active since January 29, 2016PECOS Enrolled
5441 S MACADAM AVE STE R, PORTLAND, OR 97239(504) 326-5175 Get Directions Write a Review

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

Record update history: Feb 4, 2026, Jan 29, 2016 (2 updates tracked since 2016).

About Willie Harris NPPES

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

WILLIE HARRIS (NPI 1649638164) is an individual professional provider in Portland, Oregon, licensed in Oregon (C9283) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Orleans, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649638164
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILLIE HARRIS
Location Address5441 S MACADAM AVE STE RPortland, OR 97239-3822
Mailing Address5441 S Macadam Ave Ste RPortland, OR 97239-3822 · (504) 326-5175
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 29, 2016
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1649638164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C9283
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 161647385 (LA)
5441 S MACADAM AVE STE R, Portland, OR 97239

Secondary Practice Location 1

Location 14747 Earhart Blvd Ste DNew Orleans, LA 70125-1747 · Phone (504) 482-2600 · Fax (504) 482-2644

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 (PECOS)

Willie Harris is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901391432
PECOS Enrollment IDI20251222001540
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 20

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

Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Registered Nurse (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Marriage & Family Therapist
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Clinic/Center (Adult Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239

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 Willie Harris's NPI number?

The NPI number for Willie Harris is 1649638164. It was assigned to this individual provider in the NPPES registry on January 29, 2016.

Where is Willie Harris located?

Willie Harris practices at 5441 S Macadam Ave Ste R, Portland, OR 97239. The listed phone number is (504) 326-5175.

What is Willie Harris's specialty?

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

Is Willie Harris enrolled in Medicare?

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

What insurance does Willie Harris accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Willie Harris 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 Willie Harris was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.