DEREK HARRIS (NPI# 1982969333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982969333 |
| Entity Type | Individual |
| Full Name | DEREK HARRIS |
| Credential | CAC II |
| Practice Address |
216 N 3rd St Sterling CO 80751-4302 |
| Mailing Address |
211 W Main St Sterling CO 80751-3168 |
| Practice Telephone | 9705266577 |
| Practice Fax Number | 9709650059 |
| Mailing Telephone | 9705224549 |
| Mailing Fax Number | 9705224211 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB-7361 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 W Main St, Sterling, CO 807513168 | 9705224549 | 9705224211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922545094 | Derek Harris | Counselor | 122 S Michigan Ave, Suite 406, Chicago, IL 60603-6191 | 2017-01-26 |
| 1821360728 | Derek R. Harris | Nurse Practitioner | 1919 Fairfield Ave, Shreveport, LA 71101-4436 | 2012-02-08 |
| 1083997571 | Derek J Harris | Pharmacist | 1301 Bell Rd, Antioch, TN 37013-3730 | 2011-09-21 |
| Street Address |
216 N 3RD ST |
| City | STERLING |
| State | CO |
| Zip Code | 80751-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790274579 | Mandi Rogers | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2018-05-07 |
| 1588167084 | New Pathways To Wellness and Recovery Counseling Center | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2018-03-12 |
| 1518327873 | Michelle Marie Long | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2016-02-29 |
| 1457793739 | Michelle Mccauley | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2013-07-26 |
| 1629384102 | Travis G Wheeler | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750946869 | Kim Matthew Kavanaugh | Counselor | 34090 Arabian Court, Sterling, AK 99672 | 2019-05-03 |
| 1144641523 | Olusola Edwards | Counselor | 21335 Signal Hill Plz Ste 250, Sterling, VA 20164-5567 | 2014-01-02 |
| 1215221114 | Michael Nelsen | Counselor | 45546 Reading Ter, Sterling, VA 20166-3052 | 2011-06-08 |
| 1033410253 | Jason Kent Brown | Counselor | 1305 Avenue I, Sterling, IL 61081-2138 | 2010-11-04 |
| 1336234590 | Ruth Ellen Attebury | Counselor | 101 E Holly Ave, Sterling, VA 20164-5402 | 2006-10-04 |
| 1790274579 | Mandi Rogers | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2018-05-07 |
| 1669916185 | Nuleaf Counseling Center | Counselor | 1402 S 3rd Ave, Sterling, CO 80751-4650 | 2016-12-19 |
| 1245780055 | Gilberto Perez | Counselor | 2611 Woodlawn Rd, Sterling, IL 61081-4151 | 2016-10-05 |
| 1831574466 | Rachelle Buchanan | Counselor | 1402 S 3rd Ave, Sterling, CO 80751 | 2015-07-24 |
| 1508267816 | Alix Leah Mcmurray | Counselor | 118 Main St, Suite 204/206, Sterling, CO 80751-4370 | 2014-09-07 |
| Find all providers in STERLING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.