Michael Roy Morris, MS, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00805 Issued in MN

Practice address

5985 Rice Creek Pkwy Ste 201
Shoreview, MN 55126-5037

Phone

(651) 348-7240

Fax

(651) 348-7265

NPI assigned

Aug 30, 2016

Sex

Male

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)
• Shoreview Mental Health Center, LLC

  • Psychologist
  • Shoreview, MN
  • NPI 1558735779
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1831645886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 RICE CREEK PKWY STE 201",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265037",
            "telephone_number": "651-348-7240",
            "fax_number": "651-348-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 RICE CREEK PKWY STE 201",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265037",
            "telephone_number": "651-348-7240",
            "fax_number": "651-348-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "ROY",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew C Monteiro, MD
• Alan B Montgomery, D.D.S, M.S.
• Elaine Moore, MA, LP
• Rebecca Moos
• Hayley Mordorski, PHARM.D
• Mariah Lynn Moskalik, RN
• Motioncare, Inc.
• Mounds View Public Schools Isd621
• Madison Marie Mueller, SLP
• Kathryn Elizabeth Muellner, LICSW

• Professional Counselor in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.