Individual provider Active NPI

Timothy Morris

  • Professional Counselor
  • Norman, OK
National Provider Identifier
1649799081
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10201 Issued in OK
Practice address
448 36TH Ave NW Ste 101
Norman, OK 73072-4743
Phone
(405) 573-9905
NPI assigned
Sep 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10201 OK Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

448 36TH Ave NW Ste 101
Norman, OK 73072-4743

Mailing address

5900 Kinkead Ave Apt 477
Fort Smith, AR 72903-1511
Phone (479) 226-1887

Other practice location 1

5900 kinkead ave 477
Fort Smith, AR 72904
Phone (479) 226-1887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004422 OK Practitioner - Mental Health Counselor 2264884840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Improving Lives Counseling Services IncGroup PAC ID 3870818230, 32 clinicians

Practice addresses (Care Compare)

6216 S Lewis Ave
Suite 180
Tulsa, OK 74136-1077
Phone (918) 960-7852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Improving Lives Counseling Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Jul 25, 2024 Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649799081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 KINKEAD AVE APT 477",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729031511",
            "telephone_number": "479-226-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 36TH AVE NW STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724743",
            "telephone_number": "405-573-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 kinkead ave 477",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "72904",
            "country_code": "US",
            "telephone_number": "479-226-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "10201",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.