Active NPI
Terry Morris, LPC
- Counselor
- Martin, GA
National Provider Identifier
1477975514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC007477
- Practice address
- 1085 Bruce Rd
Martin, GA 30557-4639 - Phone
- (706) 599-9244
- Fax
- (706) 779-0228
- NPI assigned
- Jan 8, 2014
- Last updated
- Jan 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | LPC007477 | GA | Primary |
Addresses
Primary practice location
1085 Bruce Rd
Martin, GA 30557-4639
Mailing address
1085 Bruce Rd
Martin, GA 30557-4639
Phone (706) 599-9244
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 |
|---|---|---|---|
| LPC007477 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estatohe Counseling | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Martin, GA
- NPI 1538595483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1477975514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 BRUCE RD",
"city": "MARTIN",
"state": "GA",
"postal_code": "305574639",
"telephone_number": "706-599-9244",
"fax_number": "706-779-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 BRUCE RD",
"city": "MARTIN",
"state": "GA",
"postal_code": "305574639",
"telephone_number": "706-599-9244",
"fax_number": "706-779-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "TERRY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-08",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC007477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.