Active NPI
John Patrick Morgan, L.C.P.C.
- Professional Counselor
- Cicero, IL
National Provider Identifier
1336254440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-000190
- Practice address
- 5341 W Cermak Rd
Cicero, IL 60804-2817 - Phone
- (708) 656-6430
- Fax
- (708) 656-6591
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-000190 | IL | Primary |
Addresses
Primary practice location
5341 W Cermak Rd
Cicero, IL 60804-2817
Mailing address
658 S Fern CT
Elmhurst, IL 60126-4616
Phone (630) 530-8220
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180000190 | Medicaid | IL | |
| 1617631 | Other | IL | BLUE CROSS BLUE SHIELD |
| 202591 | Other | IL | MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180-000190 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1336254440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 S FERN CT",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601264616",
"telephone_number": "630-530-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5341 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042817",
"telephone_number": "708-656-6430",
"fax_number": "708-656-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JOHN",
"middle_name": "PATRICK",
"credential": "L.C.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-000190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180000190",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1617631",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "202591",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.