Morris Daniel Lee

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180013122 Issued in IL

Practice address

3716 W Brighton Ave
Peoria, IL 61615-2938

Phone

(309) 692-7755

Fax

(309) 692-2262

NPI assigned

Apr 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Morris Dan'L Lee Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John Day and Associates, LTDGroup PAC ID 0446201693, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Graham Hospital Association

  • Rural Health Clinic/Center
  • Galesburg, IL
  • NPI 1063128601

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Urgent Care Clinic/Center
  • Canton, IL
  • NPI 1124735402

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1154117521

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Rural Health Clinic/Center
  • Galesburg, IL
  • NPI 1194462101

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Rural Health Clinic/Center
  • Canton, IL
  • NPI 1205072626

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Rural Health Clinic/Center
  • Williamsfield, IL
  • NPI 1508463563

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Family Medicine Physician
  • Macomb, IL
  • NPI 1780321117

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1780692087

  Corporate Director

  CMS ownership
• Graham Hospital Association

  • Rural Health Clinic/Center
  • Farmington, IL
  • NPI 1841436268

  Corporate Director

  CMS ownership

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.

• John Day & Associates, LTD

  • Clinical Psychologist
  • Peoria, IL
  • NPI 1245454313

  IL, Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1427612464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 W BRIGHTON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152938",
            "telephone_number": "309-338-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 W BRIGHTON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152938",
            "telephone_number": "309-692-7755",
            "fax_number": "309-692-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MORRIS",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178013344",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORRIS",
            "last_name": "LEE",
            "middle_name": "DAN'L",
            "credential": "MA, LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna Anne Leber, O.T.
• Trent Ledbetter, DO
• Lee Obstetrics and Gynecology, S.C.
• Albert Lee
• Ella Marie Lee, LCPC
• Nicholas Lee, MSW
• Patrice Lee
• Rachel Lee, PA-C
• Robert Benjamin Lee, DPT
• Shaotseng Lee

• All providers in Peoria, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.