MEDICARE: MR. CLAYTON JAMES HARRISON JR. LMHC, LMFT, MCAP

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	106H00000X	Marriage & Family Therapist	166012165	IL
2	101YM0800X	Mental Health Counselor	16297	FL
3	106H00000X	Marriage & Family Therapist	LMFT200001384	DC
4	106H00000X	Marriage & Family Therapist	3769	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316393937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CLAYTON JAMES HARRISON JR. LMHC, LMFT, MCAP

Provider Business Mailing Address
First Line	:	1205 S FLAGLER AVE APT 411
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-8696
Country	:	US
Telephone Number	:	216-338-8452
Fax Number	:

Provider Business Practice Location Address
First Line	:	871 W OAKLAND PARK BLVD
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33311-1731
Country	:	US
Telephone Number	:	954-567-7141
Fax Number	:	954-703-2029

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

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	01/20/2026

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