Active NPI
Tiarra Charelle Morris, LCMHC, LCAS
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1558743542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11705
- Practice address
- 3209 Allerton Circle
E
Greensboro, NC 27409 - Phone
- (743) 201-5834
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11705 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21911 | NC |
Addresses
Primary practice location
3209 Allerton Circle
E
Greensboro, NC 27409
Mailing address
PO Box 2420
Kernersville, NC 27285-2420
Phone (743) 201-5834
Other practice location 1
650 Highland Ave
Winston Salem, NC 27101-4304
Phone (336) 607-8523
Other practice location 2
1922 S Martin Luther King Jr Dr
Winston Salem, NC 27107-1361
Phone (336) 908-9936
Other practice location 3
725 Highland Ave
Winston Salem, NC 27101-4180
Phone (336) 607-8523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231222000660 | NC | Practitioner - Mental Health Counselor | 2466802079 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21911 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 11705 | NC | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1558743542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2420",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272852420",
"telephone_number": "743-201-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 ALLERTON CIRCLE",
"address_2": "E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27409",
"telephone_number": "743-201-5834"
}
],
"practiceLocations": [
{
"address_1": "650 Highland Ave",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271014304",
"country_code": "US",
"telephone_number": "336-607-8523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1922 S Martin Luther King Jr Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271071361",
"country_code": "US",
"telephone_number": "336-908-9936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Highland Ave",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271014180",
"country_code": "US",
"telephone_number": "336-607-8523",
"fax_number": "336-607-8647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRIS",
"first_name": "TIARRA",
"middle_name": "CHARELLE",
"credential": "LCMHC, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2023-06-21",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11705",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "21911",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.