Roger G. Mortise, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008698 Issued in VA

Practice address

306 Westwood Office Park
Fredericksburg, VA 22401-5108

Phone

(540) 699-0226

Fax

(540) 699-0224

NPI assigned

Nov 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Resilience Counseling & Social Skills Center LLC

  • Professional Counselor
  • Midlothian, VA
  • NPI 1245724707
  NPD

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1629614052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 TWIN HICKORY RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595682",
            "telephone_number": "540-699-0226",
            "fax_number": "540-699-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WESTWOOD OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015108",
            "telephone_number": "540-699-0226",
            "fax_number": "540-699-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTISE",
        "first_name": "ROGER",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Morris, PHYSICAL THERAPIST
• Terri P. Morris, M.D., PH.D.
• Zhaneya Morris, DOULA
• Nakia Morrison, LMT
• Ruthanne Wallace Morrow, NP-C
• Kristine Morton, RBT
• Raven Amber Morton, DNP, FNP-C
• Mosaic Child & Family Counseling, PLLC
• Kathy Yolanda Mosley
• Randi Lyne Mosley, CNA

• Professional Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.