Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaise Harris

Individual provider Mental Health Counselor · NPI 1871126755

Blaise Harris is a Mental Health Counselor in Garner, North Carolina. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

69 Shipwash Dr
Garner, NC 27529-6860
Phone: (919) 772-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A15547 (NC)

Record details

NPI number1871126755
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2020
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing address69 Shipwash Dr, Garner, NC 27529-6860

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Garner