Individual provider Active NPI

Winston Allen Morrison Jr., LPC-S

  • Mental Health Counselor
  • Harrison, AR
National Provider Identifier
1629218169
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1101088 Issued in AR
Practice address
701 N Walnut St Ste B
Harrison, AR 72601
Phone
(015) 482-5970
Fax
(870) 754-2554
NPI assigned
Feb 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1101088 AR Primary

Addresses

Primary practice location

701 N Walnut St Ste B
Harrison, AR 72601

Mailing address

302 Tamarind St
Harrison, AR 72601-4836
Phone (501) 482-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P1101088ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Paths Counseling PLLC Mental Health Current Accepting new patients

Locations

701 N Walnut St
Ste B
Harrison, AR 72601
Phone (870) 741-7211

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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1629218169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 TAMARIND ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014836",
            "telephone_number": "501-482-5970",
            "fax_number": "870-754-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WALNUT ST STE B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "015-482-5970",
            "fax_number": "870-754-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "WINSTON",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1101088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.