Active NPI
Mary L Morrisey, LPC
- Counselor
- Boise, ID
National Provider Identifier
1578898334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-3612
- Practice address
- 2995 N Cole Rd
#255
Boise, ID 83704-5964 - Phone
- (208) 376-0453
- NPI assigned
- Oct 13, 2009
- Sex
- Female
- Sole proprietor
- No
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 | LPC-3612 | ID | Primary |
Addresses
Primary practice location
2995 N Cole Rd
#255
Boise, ID 83704-5964
Mailing address
2995 N Cole Rd
#255
Boise, ID 83704-5964
Phone (208) 376-0453
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093844474 | Other | ID | BLUE CROSS OF IDAHO |
| 1093844474 | Other | ID | BLUE SHIELD OF IDAHO |
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 |
|---|---|---|---|
| LPC-3612 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1578898334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 N COLE RD",
"address_2": "#255",
"city": "BOISE",
"state": "ID",
"postal_code": "837045964",
"telephone_number": "208-376-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 N COLE RD",
"address_2": "#255",
"city": "BOISE",
"state": "ID",
"postal_code": "837045964",
"telephone_number": "208-376-0453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISEY",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-3612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "1093844474",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "1093844474",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.