MEDICARE: CHELSEY HARRIS

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	LMHC10005383	MA

General Provider Information

NPI Number	:	1053065771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY HARRIS

Provider Business Mailing Address
First Line	:	34 HAYNES ST
Second Line	:
City	:	ENFIELD
State	:	CT
Zip	:	06082-5057
Country	:	US
Telephone Number	:	860-849-2406
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 STATE ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1985
Country	:	US
Telephone Number	:	413-301-7797
Fax Number	:

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

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	12/19/2025

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