Organization Active NPI

Jessica Morman, LMFT, PLLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1508374182
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JESSICA MORMAN, LMFT, PLLC
Practice address
108 Giles Ave Ste 102
Wilmington, NC 28403-4759
Phone
(910) 769-9691
Fax
(910) 239-8373
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Jessica Kylie Morman, MA, LMFTNPI 1275889685
Title
Owner
Phone
(910) 599-1169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1513 NC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

108 Giles Ave Ste 102
Wilmington, NC 28403-4759

Mailing address

108 Giles Ave Ste 102
Wilmington, NC 28403-4759
Phone (910) 769-9691

Other names 1

  • Horizon Wellness Services Doing business as

National Provider Directory

National Provider Directory

Locations

108 Giles Ave
Ste 102
Wilmington, NC 28403
Phone (910) 742-0382

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1508374182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GILES AVE STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034759",
            "telephone_number": "910-769-9691",
            "fax_number": "910-239-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GILES AVE STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034759",
            "telephone_number": "910-769-9691",
            "fax_number": "910-239-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MORMAN, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2022-08-31",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "MORMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-599-1169",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1513",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.