Jennifer Elaine Morris, M.A. LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401014755 Issued in MI

Practice address

17344 W 12 Mile Rd Ste 209
Southfield, MI 48076-6321

Phone

(248) 923-1408

Fax

(248) 327-7152

NPI assigned

Mar 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 26, 2024 through Mar 26, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801289996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17344 W 12 MILE RD STE 209",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766321",
            "telephone_number": "248-923-1408",
            "fax_number": "248-327-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17344 W 12 MILE RD STE 209",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766321",
            "telephone_number": "248-923-1408",
            "fax_number": "248-327-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17320 W 12 Mile Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762100",
            "country_code": "US",
            "telephone_number": "248-923-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Rolland Morin, D.D.S.
• Mara Morley
• Aisleen Morr, MSW
• Morris E. Gales III MD
• Morris Halo Health LLC
• Leon Herbert Morris, DO
• Alan Fairchild Morrison, MD
• Christine Morrison, M.D.
• Haley Morrison, LMSW
• Katherine Morrison, DPM

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.