Individual provider Active NPI

Morgan Gagas, MS, LPC

  • Mental Health Counselor
  • Williams Bay, WI
National Provider Identifier
1063009397
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8040-125 Issued in WI
Practice address
93 W Geneva St Ste 2
Williams Bay, WI 53191-9562
Phone
(262) 607-2770
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8040125 WI
Mental Health Counselor 101YM0800X 8040-125 WI Primary

Addresses

Primary practice location

93 W Geneva St Ste 2
Williams Bay, WI 53191-9562

Mailing address

93 W Geneva St Ste 2
Williams Bay, WI 53191-9562
Phone (262) 607-2770

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8040-125WIMDMental Health Counselor
8040125WIMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.morgangagas@149809.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1063009397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 W GENEVA ST STE 2",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531919562",
            "telephone_number": "262-607-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W GENEVA ST STE 2",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531919562",
            "telephone_number": "262-607-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGAS",
        "first_name": "MORGAN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8040125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8040-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williams Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.