Sandra K Morris, M.A., LLP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6361001135 Issued in MI

Practice address

348 S Waverly Rd
Holland, MI 49423-3799

Phone

(616) 229-4749

NPI assigned

Oct 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Lux Aeterna Holistic Therapy

  • Adult Mental Health Clinic/Center
  • Holland, MI
  • NPI 1417662586

  Counseling

  NPD Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1235448499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 S WAVERLY RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233799",
            "telephone_number": "616-834-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S WAVERLY RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233799",
            "telephone_number": "616-229-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SANDRA",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.A., LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301014526",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6361001135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "6361001135",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valente Oswaldo Morales, CHW
• Eryl S Morgan-Jenkins, PT, MHS
• Kalisha Leone Morin, D.D.S.
• Keith Morley, LMSW
• Jennifer L Morrical, M.D.
• Gina Morrow
• Ronald L Morse, D.P.M.
• Daniel Mortensen, MD
• Lauren Ashley Mortensen, MD
• Sadie Morway, MS, AT, ATC, CSCS

• Mental Health Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.