Enchelle Renee Morris, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180013399 Issued in IL

Practice address

930 175TH St
Homewood, IL 60430-2039

Phone

(708) 831-3943

Fax

(312) 584-4390

NPI assigned

Dec 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

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.

• A Bridge 2 Healing Therapeutic Services

  • Mental Health Counselor
  • Homewood, IL
  • NPI 1801508528

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Obsidian Institute of Integrative Medicine

  • Adult Mental Health Clinic/Center
  • Midlothian, IL
  • NPI 1003795907
  NPD (past)
• Obsidian Institute of Integrative Medicine

  • Mental Health Counselor
  • Midlothian, IL
  • NPI 1437682937

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1750977872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302039",
            "telephone_number": "708-831-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302039",
            "telephone_number": "708-831-3943",
            "fax_number": "312-584-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ENCHELLE",
        "middle_name": "RENEE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "25434",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013399",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012270",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyanna Mae Moraga
• Daisy Moraga
• Deborah Moraga, LMT
• Karen Morales, ED.S, MA
• Isabella Morenos
• George Edward Morris Jr., DDS
• Kristin Morrow, DPT
• Mosaic Nature Therapy and Wellness PLLC
• Dale Muhammad, RN
• Hamidah Muhammad

• Mental Health Counselor in Homewood, IL
• Providers in Homewood, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.