Active NPI
Richard Morse
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1801322094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW-36568
- Practice address
- 115 E 16TH St
Idaho Falls, ID 83404-5919 - Phone
- (208) 523-6727
- Fax
- (208) 523-6729
- NPI assigned
- May 7, 2017
- Last updated
- May 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | LMSW-36568 | ID | Primary |
Addresses
Primary practice location
115 E 16TH St
Idaho Falls, ID 83404-5919
Mailing address
115 E 16TH St
Idaho Falls, ID 83404-5919
Phone (208) 523-6727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-0471763 | Other | ID | MEDICARE PTAN: 20006011 |
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 |
|---|---|---|---|
| LMSW-36568 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494115200000",
"number": "1801322094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 16TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045919",
"telephone_number": "208-523-6727",
"fax_number": "208-523-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 16TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045919",
"telephone_number": "208-523-6727",
"fax_number": "208-523-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-07",
"last_updated": "2017-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW-36568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN: 20006011",
"identifier": "82-0471763",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.