Individual provider Active NPI

Genevieve M Morris, LPC, MATS

  • Professional Counselor
  • Peachtree City, GA
National Provider Identifier
1164191128
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012366 Issued in GA
Practice address
401 Westpark CT Ste 200
Peachtree City, GA 30269-3572
Phone
(678) 492-2980
NPI assigned
Sep 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC012366 GA
Mental Health Counselor 101YM0800X LPC012366 GA
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC012366 GA Primary
Counselor 101Y00000X LPC012366 GA

Addresses

Primary practice location

401 Westpark CT Ste 200
Peachtree City, GA 30269-3572

Mailing address

1201 Carmine CT
Peachtree City, GA 30269-4006
Phone (678) 723-5171

Other identifiers 1

IdentifierTypeStateIssuer
LPC012366OtherGASTATE LICENSURE

Other names 1

  • Genna Marie Morris Professional name

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
LPC012366GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1164191128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CARMINE CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694006",
            "telephone_number": "678-723-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTPARK CT STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693572",
            "telephone_number": "678-492-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "GENEVIEVE",
        "middle_name": "M",
        "credential": "LPC, MATS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC012366",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC012366",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012366",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC012366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "LPC012366",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENNA",
            "last_name": "MORRIS",
            "middle_name": "MARIE",
            "credential": "LPC, MATS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.