Active NPI
Charles Peter Morgan, LMFT
- Mental Health Counselor
- Saint Paul, MN
National Provider Identifier
1801044516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 57559
- Practice address
- 1505 Burns Ave
Saint Paul, MN 55106-6603 - Phone
- (651) 774-5503
- NPI assigned
- Sep 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3786 | MN | |
| Mental Health Counselor | 101YM0800X | 57559 | CA | Primary |
Addresses
Primary practice location
1505 Burns Ave
Saint Paul, MN 55106-6603
Mailing address
1505 Burns Ave
Saint Paul, MN 55106-6603
Phone (651) 774-5503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3786 | Other | MN | CLINICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 57559 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeuo Mental Health | Current | Accepting new patients |
Locations
1505 Burns Ave
Saint Paul, MN 55106
Phone (651) 410-0972
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1073351078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1801044516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 BURNS AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551066603",
"telephone_number": "651-774-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 BURNS AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551066603",
"telephone_number": "651-774-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "CHARLES",
"middle_name": "PETER",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-05",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "3786",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "57559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL LICENSE",
"identifier": "3786",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.