MRS. CHARLETT THERESA HARRIS LPC012133
NPI 1720660855
Counselor - Professional in Marietta, GA

Q: What is Charlett Harris's NPI number?

The NPI number for Charlett Harris is 1720660855. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Q: What is Charlett Harris's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charlett Harris was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 27, 2021PECOS EnrolledAccepts Medicare Assignment

3911 MARY ELIZA TRCE NW STE 200, MARIETTA, GA 30064(678) 631-9907 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, May 17, 2021, May 15, 2021 and 1 more (4 updates tracked since 2021).

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About Mrs. Charlett Theresa Harris Lpc012133 NPPES

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

MRS. CHARLETT THERESA HARRIS LPC012133 (NPI 1720660855) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC012133) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2016).

NPPES Registry Identity

NPI1720660855

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. CHARLETT THERESA HARRISCredential: LPC012133

Location Address3911 MARY ELIZA TRCE NW STE 200Marietta, GA 30064-1088

Mailing Address3911 Mary Eliza Trce Nw Ste 200Marietta, GA 30064-1088 · (678) 631-9907 · Fax (678) 701-7909

Phone(678) 631-9907

Sole ProprietorYes

Medical School CMSMercer University School Of MedicineGraduated 2016

Enumeration DateApril 27, 2021

Last NPPES UpdateSeptember 10, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1720660855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC012133

3911 MARY ELIZA TRCE NW STE 200, Marietta, GA 30064

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mrs. Charlett Theresa Harris Lpc012133 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 ID5193119576

PECOS Enrollment IDI20240130002734

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 13

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

JASMINE SMITH

Case Manager/Care Coordinator