Individual provider Active NPI

Jennifer Nicole Morris

  • Counselor
  • Morgantown, WV
National Provider Identifier
1184236788
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2502 Issued in WV
Practice address
742 Fairmont Rd Ste C
Morgantown, WV 26501-4291
Phone
(681) 441-2687
NPI assigned
Aug 17, 2020
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2502 WV Primary

Addresses

Primary practice location

742 Fairmont Rd Ste C
Morgantown, WV 26501-4291

Mailing address

1060 Hawkins Run Rd
Core, WV 26541-7186
Phone (304) 692-6714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240206004369 WV Practitioner - Mental Health Counselor 2567805534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2502WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Immaculate Mind Consult, LLC CurrentSince Jun 9, 2024 Accepting new patients
Appalachian Counseling Center LLC Counselor CurrentSince Jan 26, 2024 Accepting new patients

Locations

207 Fairmont Ave
Fairmont, WV 26554
Phone (681) 404-6869

103 Corporate Dr
Ste 102
Morgantown, WV 26501
Phone (681) 404-6869

742 Fairmont Rd
Ste C
Morgantown, WV 26501
Phone (681) 441-2687

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1184236788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HAWKINS RUN RD",
            "city": "CORE",
            "state": "WV",
            "postal_code": "265417186",
            "telephone_number": "304-692-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 FAIRMONT RD STE C",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014291",
            "telephone_number": "681-441-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.