Individual provider Active NPI

Joseph Patrick Morcomb, LPCC

  • Mental Health Counselor
  • Roseville, MN
National Provider Identifier
1154085900
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3881 Issued in MN
Practice address
1611 County Road B W
Ste 312
Roseville, MN 55113-4107
Phone
(651) 243-0077
Fax
(651) 273-2201
NPI assigned
Oct 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 3881 MN Primary

Addresses

Primary practice location

1611 County Road B W
Ste 312
Roseville, MN 55113-4107

Mailing address

1611 County Road B W
Ste 312
Saint Paul, MN 55113-4107
Phone (651) 243-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240515002726 MN Practitioner - Mental Health Counselor 5496196909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep River Counseling LLCGroup PAC ID 8123469632, 2 clinicians

Practice addresses (Care Compare)

1611 County Rd B W
Suite 312
Roseville, MN 55113-4107
Phone (651) 243-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deep River Counseling LLC Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

1611 County Road B W
Ste 201
Saint Paul, MN 55113

1611 County Road B W
Ste 312
Saint Paul, MN 55113
Phone (651) 243-0077

5861 Cedar Lake Rd S
St Louis Park, MN 55416
Phone (612) 202-8703

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1154085900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W",
            "address_2": "STE 312",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551134107",
            "telephone_number": "651-243-0077",
            "fax_number": "651-273-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W",
            "address_2": "STE 312",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134107",
            "telephone_number": "651-243-0077",
            "fax_number": "651-273-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCOMB",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.