Active NPI
Mary Louise Morrison, LPC
- Mental Health Counselor
- Pocatello, ID
National Provider Identifier
1376975102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-5384
- Practice address
- 720 E Lander St
Suite a
Pocatello, ID 83201-6228 - Phone
- (208) 478-2172
- Fax
- (208) 478-2174
- NPI assigned
- Aug 3, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-5384 | ID | Primary |
Addresses
Primary practice location
720 E Lander St
Suite a
Pocatello, ID 83201-6228
Mailing address
720 E Lander St
Suite a
Pocatello, ID 83201-6228
Phone (208) 478-2172
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 |
|---|---|---|---|
| LPC-5384 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375488000000",
"number": "1376975102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E LANDER ST",
"address_2": "SUITE A",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832016228",
"telephone_number": "208-478-2172",
"fax_number": "208-478-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E LANDER ST",
"address_2": "SUITE A",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832016228",
"telephone_number": "208-478-2172",
"fax_number": "208-478-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "MARY",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-03",
"last_updated": "2013-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-5384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.