Individual provider Active NPI

Jessica Kylie Morman, MA, LMFT

  • Marriage & Family Therapist
  • Wilmington, NC
National Provider Identifier
1275889685
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1513 Issued in NC
Practice address
108 Giles Ave Ste 102
Wilmington, NC 28403-4759
Phone
(910) 467-8688
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1513 NC Primary

Addresses

Primary practice location

108 Giles Ave Ste 102
Wilmington, NC 28403-4759

Mailing address

108 Giles Ave Ste 102
Wilmington, NC 28403-4759
Phone (910) 599-1169

Other names 1

  • Miss Jessica Kylie Williams Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1513NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Morman, LMFT, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

108 Giles Ave
Ste 102
Wilmington, NC 28403
Phone (910) 742-0382

5917 Oleander Dr
Ste 202
Wilmington, NC 28403
Phone (910) 409-8958

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1275889685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GILES AVE STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034759",
            "telephone_number": "910-599-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GILES AVE STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034759",
            "telephone_number": "910-467-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORMAN",
        "first_name": "JESSICA",
        "middle_name": "KYLIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILLIAMS",
            "middle_name": "KYLIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

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