Individual provider Active NPI

Jacqueline Morgan, LPC, NCC, CAADC

  • Professional Counselor
  • Thomson, GA
National Provider Identifier
1841625472
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 00721 Issued in GA
Practice address
654 Main St
Suite 6
Thomson, GA 30824-7403
Phone
(706) 399-3332
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 325391 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X C0138 GA
Professional Counselor 101YP2500X LPC 00721 GA Primary

Addresses

Primary practice location

654 Main St
Suite 6
Thomson, GA 30824-7403

Mailing address

P.O. Box 1654
654 Main St Ste 6
Thomson, GA 30824-7422
Phone (706) 399-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240207004296 GA Practitioner - Mental Health Counselor 6507215886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

654 Main St
Suite 6
Thomson, GA 30824-7424
Phone (706) 399-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
325391GAMDCounselor
C0138GAMDAddiction (Substance Use Disorder) Counselor
LPC 00721GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan, Miloni and Associates Counselor CurrentSince Oct 21, 2023 Accepting new patients

Locations

654 Main St
Ste 6
Thomson, GA 30824
Phone (706) 399-3332

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1841625472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1654",
            "address_2": "654 MAIN ST STE 6",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247422",
            "telephone_number": "706-399-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MAIN ST",
            "address_2": "SUITE 6",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247403",
            "telephone_number": "706-399-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JACQUELINE",
        "credential": "LPC, NCC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "325391",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0138",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC 00721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

Verify at the official NPI Registry.