JACQUELINE HARRIS LCMHC
NPI 1730717448
Counselor - Mental Health in Greensboro, NC

Q: What is Jacqueline Harris's NPI number?

The NPI number for Jacqueline Harris is 1730717448. It was assigned to this individual provider in the NPPES registry on March 29, 2020. The provider is also known as Ms. Jacqueline Wells.

Q: What is Jacqueline Harris's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Harris was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 March 29, 2020PECOS Enrolled

4708 MALLARD CREEK DR, GREENSBORO, NC 27405(336) 707-9677 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2024, Mar 30, 2021, Mar 29, 2020 (3 updates tracked since 2020).

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About Jacqueline Harris Lcmhc NPPES

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

JACQUELINE HARRIS LCMHC (NPI 1730717448) is an individual mental health provider in Greensboro, North Carolina, licensed in North Carolina (16915) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730717448

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE HARRISCredential: LCMHC

Location Address4708 MALLARD CREEK DRGreensboro, NC 27405-2782

Mailing Address4708 Mallard Creek DrGreensboro, NC 27405-2782 · (336) 707-9677

Phone(336) 707-9677

Sole ProprietorYes

Enumeration DateMarch 29, 2020

Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1730717448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 16915

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-2686 (NC)

4708 MALLARD CREEK DR, Greensboro, NC 27405

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Other Names 1

Former Name (1)Ms. Jacqueline Wells

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Harris Lcmhc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

715 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, North Carolina and South Carolina enrollments
712 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacqueline Harris's NPI number?

The NPI number for Jacqueline Harris is 1730717448. It was assigned to this individual provider in the NPPES registry on March 29, 2020. The provider is also known as Ms. Jacqueline Wells.

Where is Jacqueline Harris located?

Jacqueline Harris practices at 4708 Mallard Creek Dr, Greensboro, NC 27405. The listed phone number is (336) 707-9677.

What is Jacqueline Harris's specialty?

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

Is Jacqueline Harris enrolled in Medicare?

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

Which organization bills Medicare for Jacqueline Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Harris reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Harris accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Jacqueline 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 Jacqueline Harris was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.