Individual provider Active NPI

Deborah Miller Morton, MA, NCC, LPC-S

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1730384843
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5425 Issued in NC
Practice address
403 S Hawthorne Rd
Winston Salem, NC 27103-3784
Phone
(336) 716-0855
Fax
(336) 716-0800
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5425 NC
Mental Health Counselor 101YM0800X MH 3746 FL
Professional Counselor 101YP2500X 5425 NC Primary

Addresses

Primary practice location

403 S Hawthorne Rd
Winston Salem, NC 27103-3784

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-9034

Other names 1

  • Deborah Ann Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240409000690 NC Practitioner - Mental Health Counselor 5890133920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH 3746FLMDMental Health Counselor
5425NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet, Inc. Mental Health CurrentSince Feb 24, 2024 Accepting new patients
Carenet Inc Mental Health CurrentSince Feb 24, 2024 Accepting new patients
Carenet, Inc Mental Health PastSince May 25, 2021 Accepting new patients

Locations

114 Highland Ave
Fayetteville, NC 28305
Phone (910) 484-0176

3219 Landmark St
Ste 9
Greenville, NC 27834

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

403 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 716-0800

Organizations & group practices 3

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1730384843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033784",
            "telephone_number": "336-716-0855",
            "fax_number": "336-716-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "DEBORAH",
        "middle_name": "MILLER",
        "credential": "MA, NCC, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 3746",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MILLER",
            "middle_name": "ANN",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.