JENNIFER HARRIS LADC LPCC NPI 1164039392

NPI Information

  • NPI: 1164039392
  • Provider Name: JENNIFER HARRIS, LADC, LPCC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 WASHINGTON ST STE 221
    NORTHFIELD, MN
    ZIP 55057
  • Phone: (612) 470-7031

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NPI Details

Jennifer Harris, LADC, LPCC is an addiction (substance use disorder) counselor in Northfield, MN. Jennifer Harris, LADC, LPCC NPI is 1164039392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 WASHINGTON ST STE 221
NORTHFIELD, MN
ZIP 55057-027
Phone: (612) 470-7031

The NPI 1164039392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/1/2020 and was last updated on 11/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthCC0238MINNESOTANo
2101YA0400XCounselorAddiction (Substance Use Disorder)304515MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11164039392MEDICAIDMINNESOTA
21164039392OTHERMINNESOTACOMMERCIAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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