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

Shean Kelly Harris, LPCA, LCASA

Individual provider Mental Health Counselor · NPI 1790223923

Shean Kelly Harris, LPCA, LCASA is a Mental Health Counselor in Greensboro, North Carolina. Qualified in 2016, 10 years ago. Practices with Brightside Medical of New Jersey PC, a 61-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone: (336) 832-7000
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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 A12533 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-21857 (NC)

Record details

NPI number1790223923
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCA , LCASA
Sole proprietorNo
NPI enumeratedFebruary 8, 2017
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Brightside Medical Of New Jersey Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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