Individual provider Active NPI

Terry John Morrill, B.A. PSYCHOLOGY

  • Case Management Agency
  • Riverton, WY
National Provider Identifier
1528445079
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
107 S Broadway Ave
202
Riverton, WY 82501-4300
Phone
(307) 856-6991
Fax
(307) 222-0614
NPI assigned
May 5, 2015
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

107 S Broadway Ave
202
Riverton, WY 82501-4300

Mailing address

PO Box 1642
Evanston, WY 82931-1642
Phone (307) 789-0664

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1528445079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1642",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829311642",
            "telephone_number": "307-789-0664",
            "fax_number": "307-222-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S BROADWAY AVE",
            "address_2": "202",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014300",
            "telephone_number": "307-856-6991",
            "fax_number": "307-222-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRILL",
        "first_name": "TERRY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "B.A. PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.