Active NPI
Taysue Ethel Morris
- Counselor
- Olney, MD
National Provider Identifier
1053063180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP11718
- Practice address
- 17904 Georgia Ave
Olney, MD 20832-2239 - Phone
- (240) 304-3327
- NPI assigned
- Jan 20, 2022
- Last updated
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP11718 | MD | Primary |
Addresses
Primary practice location
17904 Georgia Ave
Olney, MD 20832-2239
Mailing address
18500 Owl Run Way
Germantown, MD 20874-2105
Phone (240) 848-0533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP11718 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1053063180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18500 OWL RUN WAY",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742105",
"telephone_number": "240-848-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17904 GEORGIA AVE",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322239",
"telephone_number": "240-304-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "TAYSUE",
"middle_name": "ETHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP11718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
- Montgomery Internal Medicine Assoc., P.a.
- Montgomery Psychological Services, LLC
- Montgomery Surgical Associates, LLC
- Kristin Simone Moore
- Kathryn Morris, PT
- Bennett T Morrison, M.D.
- Mosaddegh Physical Therapy Inc (Physical Therapy & Sports Medicine Center)
- Mosaddegh Physical Therapy Inc (Physical Therapy & Sports Medicine Center)
- Moss Chiropractic LLC (Moss Chiropractic and Wellness)
- Gabriella Prochaska Moss, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.