Samantha Lyn Morrison, MA/EDS, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A9430 Issued in NC

Practice address

132 Commercial Dr Ste 120
Forest City, NC 28043-2887

Phone

(828) 248-1117

Fax

(828) 248-1126

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1487992145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 E COLLEGE AVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281520544",
            "telephone_number": "828-817-0272",
            "fax_number": "828-248-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 COMMERCIAL DR STE 120",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432887",
            "telephone_number": "828-248-1117",
            "fax_number": "828-248-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "SAMANTHA",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "MA/EDS, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• National Vision, Inc.
• Julia A Nelson, LCMHA, LMFT

• All providers in Forest City, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.