Active NPI
Susan Michele Jefferson Morton, LPC, RPT, NCC
- Counselor
- Cumming, GA
National Provider Identifier
1629525324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC007830
- Practice address
- 102 Mary Alice Park Rd
Suite 504
Cumming, GA 30040-2664 - Phone
- (301) 213-1368
- NPI assigned
- Sep 9, 2016
- 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 | LPC007830 | GA | Primary |
Addresses
Primary practice location
102 Mary Alice Park Rd
Suite 504
Cumming, GA 30040-2664
Mailing address
102 Mary Alice Park Rd
Suite 504
Cumming, GA 30040-2664
Phone (301) 213-1368
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 |
|---|---|---|---|
| LPC007830 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1629525324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MARY ALICE PARK RD",
"address_2": "SUITE 504",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402664",
"telephone_number": "301-213-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MARY ALICE PARK RD",
"address_2": "SUITE 504",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402664",
"telephone_number": "301-213-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON MORTON",
"first_name": "SUSAN",
"middle_name": "MICHELE",
"credential": "LPC, RPT, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC007830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.