Active NPI
Corey Marie Morris, M.ED, QMHS
- Community/Behavioral Health Agency
- Cleveland, OH
National Provider Identifier
1083213169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- W.2300360
- Practice address
- 3518 W 25TH St
Cleveland, OH 44109-1951 - Phone
- (162) 741-2241
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2002657-TRNE | OH | |
| Community/Behavioral Health Agency | 251S00000X | |||
| Community/Behavioral Health Agency | 251S00000X | W.2300360 | OH | Primary |
Addresses
Primary practice location
3518 W 25TH St
Cleveland, OH 44109-1951
Mailing address
27193 Bagley Rd
Olmsted TWP, OH 44138-1061
Phone (440) 567-4009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W.2300360 | Medicaid | OH | |
| 1083213169 | Medicaid | OH |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2002657-TRNE | OH | MD | Mental Health Counselor |
| W.2300360 | OH | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1083213169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27193 BAGLEY RD",
"city": "OLMSTED TWP",
"state": "OH",
"postal_code": "441381061",
"telephone_number": "440-567-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 W 25TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091951",
"telephone_number": "162-741-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "COREY",
"middle_name": "MARIE",
"credential": "M.ED, QMHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2002657-TRNE",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "W.2300360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W.2300360",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083213169",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.