NPIMap

Organization Active NPI

Morris Pediatric Counseling & Counsultation, LLC

  • Clinical Social Worker
  • Daphne, AL
National Provider Identifier
1235778895
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MORRIS PEDIATRIC COUNSELING & COUNSULTATION, LLC
Practice address
101 Villa Dr
Daphne, AL 36526-4653
Phone
(251) 454-6121
NPI assigned
Dec 31, 2019
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Mr. Charlie Morris, MSW
Title
Owner
Phone
(251) 454-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

101 Villa Dr
Daphne, AL 36526-4653

Mailing address

PO Box 1593
Robertsdale, AL 36567-1593
Phone (251) 454-6121

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2519294213 Direct

National Provider Directory

National Provider Directory

Locations

101 Villa Dr
Ste B230
Daphne, AL 36526
Phone (251) 586-8382

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1235778895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365671593",
            "telephone_number": "251-454-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VILLA DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264653",
            "telephone_number": "251-454-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS PEDIATRIC COUNSELING & COUNSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-454-6121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2519294213",
            "affiliation": "N",
            "endpointDescription": "Fax Machine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Villa Dr",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365264653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.