KENDRA HARRIS
NPI 1871064311
Social Worker - Clinical in Roseburg, OR

Q: What is Kendra Harris's NPI number?

The NPI number for Kendra Harris is 1871064311. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Q: What is Kendra Harris's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Harris was last updated on October 7, 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 December 10, 2018PECOS EnrolledAccepts Medicare Assignment

621 W MADRONE ST, ROSEBURG, OR 97470(541) 492-0241 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2024, Dec 14, 2022, Nov 19, 2020 and 1 more (4 updates tracked since 2018).

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About Kendra Harris NPPES

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

KENDRA HARRIS (NPI 1871064311) is an individual clinical provider in Roseburg, Oregon, licensed in Oregon (L11849) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871064311

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKENDRA HARRIS

Location Address621 W MADRONE STRoseburg, OR 97470-3090

Mailing AddressPo Box 1121Roseburg, OR 97470-0254

Phone(541) 492-0241

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 10, 2018

Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1871064311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · L11849

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18-04-05 (OR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPeer SpecialistTaxonomy 175T00000X

621 W MADRONE ST, Roseburg, OR 97470

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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

Kendra Harris 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 ID4082151121

PECOS Enrollment IDI20240806004334

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.96 – $166.64

Typical copayment $0.00 (range $13.74 – $41.66)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WILLIAM F SHOBE JR. LMFT

Marriage & Family Therapist