MRS. JACQUELYN HARRIS NPI 1285502500

NPI Information

  • NPI: 1285502500
  • Provider Name: MRS. JACQUELYN HARRIS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 118 SPRING ST
    PORT JEFFERSON, NY
    ZIP 11777
  • Phone: (631) 476-0564

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NPI Details

MRS. Jacquelyn Harris is a mental health counselor in Port Jefferson, NY. MRS. Jacquelyn Harris NPI is 1285502500. 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:

118 SPRING ST
PORT JEFFERSON, NY
ZIP 11777-817
Phone: (631) 476-0564

The enumeration date for this NPI number is 10/28/2025 and was last updated on 10/28/2025.

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 Health129069NEW YORKYes

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: 11/21/2025

NPI Synchronization or Removal

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