Active NPI
Shantia D Morgan, LPC
- Counselor
- Chicago, IL
National Provider Identifier
1316545429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178016265
- Practice address
- 2409 N Clybourn Ave
Chicago, IL 60614 - Phone
- (773) 755-1775
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178016265 | IL | Primary |
Addresses
Primary practice location
2409 N Clybourn Ave
Chicago, IL 60614
Mailing address
2409 N Clybourn Ave
Chicago, IL 60614-6185
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.helpforld.com | ||
| Other URL | www.helpforld.com | ||
| Other URL | www.helpforld.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178016265 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
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": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1316545429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-755-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "SHANTIA",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178016265",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.helpforld.com",
"affiliation": "N",
"address_1": "2409 N Clybourn Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606146185",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.helpforld.com",
"affiliation": "N",
"address_1": "2409 N Clybourn Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606146185",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.helpforld.com",
"affiliation": "N",
"address_1": "2409 N Clybourn Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606146185",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.