Active NPI
James Morris III
- Professional Counselor
- Bellwood, IL
National Provider Identifier
1851846638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009924
- Practice address
- 116 Marshall Ave
Bellwood, IL 60104-1122 - Phone
- (773) 706-4694
- NPI assigned
- Aug 22, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.009924 | IL | Primary |
Addresses
Primary practice location
116 Marshall Ave
Bellwood, IL 60104-1122
Mailing address
116 Marshall Ave
Bellwood, IL 60104-1122
Phone (773) 706-4694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623000862 | IL | Order and Referring Only - Mental Health Counselor | 2860965753 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009924 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbour Integrated Wellness PLLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Hanover Park, IL
- NPI 1811868581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1851846638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 MARSHALL AVE",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "601041122",
"telephone_number": "773-706-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 MARSHALL AVE",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "601041122",
"telephone_number": "773-706-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JAMES",
"name_prefix": "Prof.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-22",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellwood, IL
- Med Spa for Me, Inc. (Johnson-Miller Funeral Chapel, PC)
- Mila Medical Supply LLC
- Brian B Minardi, PA-C
- Alexia Montino
- Corrina Morris
- Sethurama Muthuramaswami, DDS
- Nora Myers, CRSS
- Nkeiruka Nnam, PHARM D.
- Occu - Sports Med Corp (Advanced Occupational Medicine Specialists)
- Occupational Health Centers of Illinois PC (Concentra Medical Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.