Active NPI
Joanna Morgan, CSAC
- Counselor
- Menasha, WI
National Provider Identifier
1619968773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 15192
- Practice address
- 1095 Midway Rd
Menasha, WI 54952-1115 - Phone
- (920) 720-2300
- Fax
- (920) 720-3806
- NPI assigned
- Oct 28, 2005
- Last updated
- Nov 3, 2008
- 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 | 15192 | WI | Primary |
Addresses
Primary practice location
1095 Midway Rd
Menasha, WI 54952-1115
Mailing address
1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40996300 | Medicaid | WI |
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 |
|---|---|---|---|
| 15192 | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1619968773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 MIDWAY RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521115",
"telephone_number": "920-720-3700",
"fax_number": "920-720-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 MIDWAY RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521115",
"telephone_number": "920-720-2300",
"fax_number": "920-720-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JOANNA",
"credential": "CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "15192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40996300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.