Individual provider Active NPI

Alexis Deanna Morris, LPCC, NCC

  • Mental Health Counselor
  • Chula Vista, CA
National Provider Identifier
1841852332
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16383 Issued in CA
Practice address
430 F St
Chula Vista, CA 91910-3711
Phone
(619) 420-3620
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16383 CA Primary

Addresses

Primary practice location

430 F St
Chula Vista, CA 91910-3711

Mailing address

10353 Azuaga St Unit 109
San Diego, CA 92129-4090
Phone (858) 914-8734

Other identifiers 1

IdentifierTypeStateIssuer
37378100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241205000492 CA Practitioner - Mental Health Counselor 0244766970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Oct 3, 2024 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Ehab Yacoub MD Inc. PastSince Mar 15, 2021 Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 4

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1841852332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10353 AZUAGA ST UNIT 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294090",
            "telephone_number": "858-914-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103711",
            "telephone_number": "619-420-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ALEXIS",
        "middle_name": "DEANNA",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "16383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37378100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.