Active NPI
Carol Jean Morais, MA LPC CADC III
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1811971096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1143
- Practice address
- 2700 SE 26TH Ave
Ste C
Portland, OR 97202-1288 - Phone
- (503) 230-9900
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | C1143 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CERT #: 95-R-38 | OR |
Addresses
Primary practice location
2700 SE 26TH Ave
Ste C
Portland, OR 97202-1288
Mailing address
2700 SE 26TH Ave
Suite C
Portland, OR 97202-1288
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT #: 95-R-38 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| C1143 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1811971096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SE 26TH AVE",
"address_2": "SUITE C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SE 26TH AVE",
"address_2": "STE C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021288",
"telephone_number": "503-230-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAIS",
"first_name": "CAROL",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "MA LPC CADC III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C1143",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "CERT #: 95-R-38",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.