Provider Demographics
NPI:1649717547
Name:HARRIS, KARI LYNN (BS, LSW, LCDCIII)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:BS, LSW, LCDCIII
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LYNN
Other - Last Name:KESTING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10100 ELIDA RD
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-9056
Mailing Address - Country:US
Mailing Address - Phone:419-695-8010
Mailing Address - Fax:419-695-5065
Practice Address - Street 1:2555 S DIXIE DR STE 260
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-1542
Practice Address - Country:US
Practice Address - Phone:937-497-7239
Practice Address - Fax:937-497-7238
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.24058251041C0700X
171M00000X
OHS.2001654-TRNE104100000X
OHLCDCIII.162290101YA0400X
OHS.2207530104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2847496Medicaid