Individual provider Active NPI

Terri Morgan

  • Marriage & Family Therapist
  • Boise, ID
National Provider Identifier
1619009552
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-4955 Issued in ID
Practice address
3320 N Milwaukee St Ste 150
Boise, ID 83704-0775
Phone
(310) 902-5942
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39280 CA
Marriage & Family Therapist 106H00000X 39280 CA
Marriage & Family Therapist 106H00000X LMFT-4955 ID Primary

Addresses

Primary practice location

3320 N Milwaukee St Ste 150
Boise, ID 83704-0775

Mailing address

1200 Esplanade Apt 322
Redondo Beach, CA 90277-4968
Phone (310) 902-5942

Other practice location 1

760 Westwood Plz # A8-153
Los Angeles, CA 90024-5055
Phone (310) 913-9772

Other identifiers 1

IdentifierTypeStateIssuer
C011054MedicaidCA

Other names 1

  • Terri Morgan Von Buskirk Professional name

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

LicenseStateTypeSpecialty
MFC39280CAMDMarriage & Family Therapist
LMFT-4955IDMDMarriage & Family Therapist
39280CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Family Wellness Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619009552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ESPLANADE APT 322",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774968",
            "telephone_number": "310-902-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N MILWAUKEE ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040775",
            "telephone_number": "310-902-5942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Westwood Plz # A8-153",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245055",
            "country_code": "US",
            "telephone_number": "310-913-9772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39280",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39280",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-4955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C011054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "VON BUSKIRK",
            "middle_name": "MORGAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 17, 2018; 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.