Individual provider Active NPI

Jessica Lynn Morton, LMFT

  • Marriage & Family Therapist
  • Coon Rapids, MN
National Provider Identifier
1285012823
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1191-124 Issued in WI
Practice address
299 Coon Rapids Blvd NW Ste 205
Coon Rapids, MN 55433-5805
Phone
(763) 290-6667
Fax
(763) 340-0730
NPI assigned
May 15, 2015
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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 1191-124 WI Primary

Addresses

Primary practice location

299 Coon Rapids Blvd NW Ste 205
Coon Rapids, MN 55433-5805

Mailing address

299 Coon Rapids Blvd NW Ste 205
Coon Rapids, MN 55433-5805
Phone (763) 290-6667

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
1191-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighted Pathways Therapy, LLC Marriage & Family Therapist CurrentSince Feb 19, 2023 Accepting new patients
Collaborative Counseling LLC PastSince Dec 1, 2019 Accepting new patients

Locations

299 Coon Rapids Blvd NW
Ste 205
Coon Rapids, MN 55433
Phone (763) 290-6667

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1285012823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 COON RAPIDS BLVD NW STE 205",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335805",
            "telephone_number": "763-290-6667",
            "fax_number": "763-340-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 COON RAPIDS BLVD NW STE 205",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335805",
            "telephone_number": "763-290-6667",
            "fax_number": "763-340-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1191-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.