Individual provider Active NPI

Susan Morgan, LADAC II

  • Addiction (Substance Use Disorder) Counselor
  • Mount Juliet, TN
National Provider Identifier
1053140392
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1530 Issued in TN
Practice address
1645 Corinth Rd
Mount Juliet, TN 37122-4149
Phone
(615) 481-3211
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1530 TN Primary

Addresses

Primary practice location

1645 Corinth Rd
Mount Juliet, TN 37122-4149

Mailing address

1645 Corinth Rd
Mount Juliet, TN 37122-4149
Phone (615) 481-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729000447 TN Practitioner - Mental Health Counselor 2062929615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Psychiatric Consultants P C Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

393 Wallace Rd
Ste 304
Nashville, TN 37211
Phone (615) 630-8575

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1053140392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 CORINTH RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224149",
            "telephone_number": "615-481-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 CORINTH RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224149",
            "telephone_number": "615-481-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SUSAN",
        "credential": "LADAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.