Individual provider Active NPI

Morgan Shope, LMHC

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1104333954
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14278 Issued in FL
Practice address
1811 Renaissance Commons Blvd Apt 2105
Boynton Beach, FL 33426-8693
Phone
(954) 319-7529
NPI assigned
Jan 2, 2018
Reactivated
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 MH14278 FL Primary

Addresses

Primary practice location

1811 Renaissance Commons Blvd Apt 2105
Boynton Beach, FL 33426-8693

Mailing address

1811 Renaissance Commons Blvd Apt 2105
Boynton Beach, FL 33426-8693
Phone (954) 319-7529

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
MH14278FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1104333954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 RENAISSANCE COMMONS BLVD APT 2105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268693",
            "telephone_number": "954-319-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 RENAISSANCE COMMONS BLVD APT 2105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268693",
            "telephone_number": "954-319-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPE",
        "first_name": "MORGAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-09-11",
        "certification_date": "2021-06-22",
        "deactivation_date": "2021-06-22",
        "reactivation_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.