Active NPI
Tracey Anne Morris, LMHC
- Mental Health Counselor
- Orange Park, FL
National Provider Identifier
1235559758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12523
- Practice address
- 1540 Kingsley Ave
Orange Park, FL 32073-4511 - Phone
- (904) 239-3677
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12523 | FL | Primary |
Addresses
Primary practice location
1540 Kingsley Ave
Orange Park, FL 32073-4511
Mailing address
PO Box 8225
Fleming Island, FL 32006
Phone (904) 742-7032
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH12523 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235559758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8225",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "32006",
"telephone_number": "904-742-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734511",
"telephone_number": "904-239-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "TRACEY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.