Individual provider Active NPI

John Michael Morrison, ED.S, LPC, NCC

  • Counselor
  • Decatur, GA
National Provider Identifier
1265704977
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC 002996 Issued in GA
Practice address
4294 Memorial Dr
Suite B
Decatur, GA 30032-1226
Phone
(404) 292-1322
Fax
(404) 963-5142
NPI assigned
Jan 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC 002996 GA Primary

Addresses

Primary practice location

4294 Memorial Dr
Suite B
Decatur, GA 30032-1226

Mailing address

4294 Memorial Dr
Suite B
Decatur, GA 30032-1226
Phone (404) 292-1322

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
LPC 002996GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1265704977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4294 MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321226",
            "telephone_number": "404-292-1322",
            "fax_number": "404-963-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321226",
            "telephone_number": "404-292-1322",
            "fax_number": "404-963-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ED.S, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC 002996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.