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Active NPI 1528805496 Individual Practitioner Female Practitioner

Eboni Dominique Harris

Peer Specialist • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Eboni Harris is a registered healthcare professional specializing in Peer Specialist in Fresno, CA. Practice services are available at 4141 N BLACKSTONE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4141 N Blackstone Ave

Fresno, CA 937263808

Telephone 5595791744
Associated Practice Facility / Clinic
🏢 Rh Community Builders Lp Facility NPI 1659061448

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
88 Specialists

Practicing in Fresno, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-JMHWOX

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Samantha Chavez

Day Training/Habilitation Specialist

NPI 1013727270
Susana Fernandez

Day Training/Habilitation Specialist

NPI 1013879584
Amanda Carlson

Peer Specialist

NPI 1043021074
John-Anthony Banuelos

Day Training/Habilitation Specialist

NPI 1053255158
Farrant Frazier

Day Training/Habilitation Specialist

NPI 1073336244
Angel Diaz

Peer Specialist

NPI 1083458855

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2024

Peer Specialist (License #MPSS-JMHWOX in CA)

NPI Profile Active July 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2024

Registered at 4141 N BLACKSTONE AVE, FRESNO, CA 937263808 (Tel: 5595791744)

📍
Updated Business Mailing Address July 09, 2024

Registered at 4141 N BLACKSTONE AVE, FRESNO, CA 937263808

👤
Provider Name / Credentials Updated July 09, 2024

Recorded as EBONI HARRIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 09, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528805496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2024
Last Update: November 13, 2024
Sole Proprietor: No

Mailing Address

4141 N Blackstone Ave

Fresno, CA 937263808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.