Individual provider Active NPI

Ada Morris

  • Addiction (Substance Use Disorder) Counselor
  • Newark, DE
National Provider Identifier
1306970520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
782 Issued in DE
Practice address
254 E Main St
Newark, DE 19711-7311
Phone
(610) 363-1488
Fax
(610) 363-8273
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 782 DE Primary

Addresses

Primary practice location

254 E Main St
Newark, DE 19711-7311

Mailing address

479 Andrews Lake Rd
Felton, DE 19943-4647
Phone (610) 363-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425001067 DE Practitioner - Clinical Social Worker 7719263995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mental Edge Counseling, LLCGroup PAC ID 2668750324, 21 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite 201
Dover, DE 19904-6930
Phone (302) 382-8698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
782DEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc CurrentSince Feb 20, 2017 Accepting new patients
Mental Edge Counseling, LLC CurrentSince Mar 10, 2017 Accepting new patients

Locations

1058 S Governors Ave
#102
Dover, DE 19904
Phone (302) 382-8698

1198 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 382-8698

505 W Market St
Ste 110
Georgetown, DE 19947
Phone (302) 628-4121

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306970520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 ANDREWS LAKE RD",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199434647",
            "telephone_number": "610-363-1488",
            "fax_number": "610-363-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117311",
            "telephone_number": "610-363-1488",
            "fax_number": "610-363-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.