Jason Morgan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3235 Issued in MN

Practice address

1611 County Road B W Ste 312
Roseville, MN 55113-4107

Phone

(651) 243-0077

Fax

(651) 273-2201

NPI assigned

Dec 9, 2025

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deep River Counseling LLC

  • Mental Health Counselor
  • Roseville, MN
  • NPI 1659147429
  NPD

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1649133380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 312",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134107",
            "telephone_number": "651-243-0077",
            "fax_number": "651-273-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 312",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134107",
            "telephone_number": "651-243-0077",
            "fax_number": "651-273-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moonlight Support Services LLC
• Geoffrey Paul Moore, PTA
• Jessica Lee Moore, LICSW
• Sharlyn Moravec, FNP-BC
• Joseph Patrick Morcomb, LPCC
• Laura Anne Morrison, AUD CCCA
• James Albert Morse, D.C.
• Laura Jane Mortenson, LICSW
• Suzanne A Moseley, PHD
• Der Moua, RN

• Mental Health Counselor in Roseville, MN
• Providers in Roseville, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.