Individual provider Active NPI

Morgan M. Depas, GC

  • Genetic Counselor (M.S.)
  • Milwaukee, WI
National Provider Identifier
1770839078
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
9200 W Wisconsin Ave
Genetic Counseling Office
Milwaukee, WI 53226-3522
Phone
(414) 955-5899
Fax
(414) 955-6516
NPI assigned
Jul 24, 2012
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 0000000030 TN
Genetic Counselor (M.S.) 170300000X WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Genetic Counseling Office
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Genetic Counseling Office
Milwaukee, WI 53226-3522
Phone (414) 955-5899

Other identifiers 2

IdentifierTypeStateIssuer
15444OtherABGC - AMERICAN BOARD OF GENETIC COUNSELING
GC0000000030OtherTNTN STATE LICENSE

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

LicenseStateTypeSpecialty
0000000030TNMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1770839078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "GENETIC COUNSELING OFFICE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-955-5899",
            "fax_number": "414-955-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "GENETIC COUNSELING OFFICE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-955-5899",
            "fax_number": "414-955-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAS",
        "first_name": "MORGAN",
        "middle_name": "M.",
        "credential": "GC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "TN",
            "license": "0000000030",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABGC - AMERICAN BOARD OF GENETIC COUNSELING",
            "identifier": "15444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN STATE LICENSE",
            "identifier": "GC0000000030",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.