MEDICARE: KARI DANELL HARRIS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	04887	KS

General Provider Information

NPI Number	:	1164243028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI DANELL HARRIS LPC

Provider Business Mailing Address
First Line	:	801 NW SAINT MARY DR STE 102
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 NW SAINT MARY DR STE 102
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-288-9273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	10/22/2024

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