Individual provider Active NPI

Kandi A Morris, CADC, LPC-C

  • Counselor
  • Cushing, OK
National Provider Identifier
1194186478
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
414 Issued in OK
Practice address
321 E Main St
Cushing, OK 74023-2643
Phone
(918) 399-6930
Fax
(918) 376-0170
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 414 OK Primary

Addresses

Primary practice location

321 E Main St
Cushing, OK 74023-2643

Mailing address

321 E Main St
Cushing, OK 74023-2643
Phone (918) 399-6930

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
414OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Healing and Wellness Counseling Services, LLC Current Accepting new patients
Graves Counseling and Wellbeing Group LLC PastSince Sep 8, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kandi.morris.p1@direct.smc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1194186478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232643",
            "telephone_number": "918-399-6930",
            "fax_number": "918-376-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232643",
            "telephone_number": "918-399-6930",
            "fax_number": "918-376-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KANDI",
        "middle_name": "A",
        "credential": "CADC, LPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cushing, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.