Individual provider Active NPI

Stephanie Katharine Morell, MS, LPCA, LCASA, PVE

  • Mental Health Counselor
  • Wilson, NC
National Provider Identifier
1376889923
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCA- A9865 Issued in NC
Practice address
2130 Forest Hills Rd W
Ste a
Wilson, NC 27893-3680
Phone
(252) 265-9200
NPI assigned
Dec 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X LCASA 3056-A NC
Mental Health Counselor 101YM0800X LPCA- A9865 NC Primary

Addresses

Primary practice location

2130 Forest Hills Rd W
Ste a
Wilson, NC 27893-3680

Mailing address

116 Breezewood Dr
Apt E
Greenville, NC 27858-8838
Phone (252) 902-5101

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 Science

State licenses

LicenseStateTypeSpecialty
LCASA 3056-ANCMDAddiction (Substance Use Disorder) Counselor
LPCA- A9865NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1376889923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BREEZEWOOD DR",
            "address_2": "APT E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588838",
            "telephone_number": "252-902-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FOREST HILLS RD W",
            "address_2": "STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933680",
            "telephone_number": "252-265-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "STEPHANIE",
        "middle_name": "KATHARINE",
        "name_prefix": "Ms.",
        "credential": "MS, LPCA, LCASA, PVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCASA 3056-A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPCA- A9865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.