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

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: August 09, 2026.

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

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
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

Other Names 1

Former Name (1)Ms. Jacqueline Wells

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)

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.

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.

What insurance does Jacqueline Harris accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc 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 21 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.