Active NPI
Ben Morris Jr.
- Mental Health Counselor
- Carrollton, GA
National Provider Identifier
1750702569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC007579
- Practice address
- 153 Independence Dr
Carrollton, GA 30116-9000 - Phone
- (770) 836-6678
- Fax
- (770) 830-2266
- NPI assigned
- Dec 20, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC007579 | GA | Primary |
Addresses
Primary practice location
153 Independence Dr
Carrollton, GA 30116-9000
Mailing address
122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone (706) 845-4045
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 |
|---|---|---|---|
| LPC007579 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1750702569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 GORDON COMMERCIAL DR STE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405754",
"telephone_number": "706-845-4045",
"fax_number": "706-845-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 INDEPENDENCE DR",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301169000",
"telephone_number": "770-836-6678",
"fax_number": "770-830-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "BEN",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-20",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC007579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.