Free Grace Presbyterian Church

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FREE GRACE PRESBYTERIAN CHURCH

Practice address

160 Canal St
Lewiston, ME 04240-7711

Phone

(207) 513-2677

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Kenneth D Morris, LCPC

Title

Director of Counseling

Phone

(207) 513-2796

Specialties & licenses 1

Addresses

Other names 1

• Jordan's Bridge Christian Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ken D Morris, LCPC

  • Professional Counselor
  • Lewiston, ME
  • NPI 1023241981
  NPD (past)

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1255160040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CANAL ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407711",
            "telephone_number": "207-513-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CANAL ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407711",
            "telephone_number": "207-513-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE GRACE PRESBYTERIAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "207-513-2796",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan's Bridge Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toni Fortmann
• Eliza Foster, DO
• Jacqueline P Fournier, ANP
• Macey Nicole Fournier, DPT
• Nancy Ann Fournier, ATC
• Freedom Care Center LLC
• Amy Susan French, LCSW
• Fresh Start Maine LLC
• Gregory S Friedel, MD
• Michael Friendly, MD

• Professional Counselor in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.