Individual provider Active NPI

Susan Carrigan Morrill

  • Mental Health Counselor
  • Caribou, ME
National Provider Identifier
1083448120
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL7718 Issued in ME
Practice address
128 Sweden St Ste 1
Caribou, ME 04736-2071
Phone
(207) 346-0267
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL7718 ME Primary

Addresses

Primary practice location

128 Sweden St Ste 1
Caribou, ME 04736-2071

Mailing address

24 Barton St
Presque Isle, ME 04769-2420
Phone (207) 762-2857

Other practice location 1

21 Main St Ste 301
Bangor, ME 04401-6359
Phone (207) 631-2201

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

LicenseStateTypeSpecialty
XL7718MEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1083448120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BARTON ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692420",
            "telephone_number": "207-762-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SWEDEN ST STE 1",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362071",
            "telephone_number": "207-346-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Main St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016359",
            "country_code": "US",
            "telephone_number": "207-631-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRILL",
        "first_name": "SUSAN",
        "middle_name": "CARRIGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.