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

Kendra Harris

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871064311

Kendra Harris is a Clinical Social Worker in Roseburg, Oregon. Qualified in 2021, 5 years ago. Practices with Adapt, a 43-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 492-0241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11849 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18-04-05 (OR)
Mental Health Counselor Taxonomy 101YM0800X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1871064311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Adapt — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roseburg