Active NPI
Delores K Morris, LPC, CCDP-D
- Professional Counselor
- Decatur, GA
National Provider Identifier
1861521254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC003853
- Practice address
- 465 Winn Way
Suite 150
Decatur, GA 30030-1753 - Phone
- (404) 438-2294
- Fax
- (678) 732-0349
- NPI assigned
- Mar 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003853 | GA | Primary |
Addresses
Primary practice location
465 Winn Way
Suite 150
Decatur, GA 30030-1753
Mailing address
2489 Connally Dr
East Point, GA 30344-1077
Phone (404) 438-2294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, ID, MI, IA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003853 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Star Mental Health | Professional | Current | Accepting new patients |
| South Central Community and Social Services LLC | Past | Accepting new patients | |
| Advanced Counseling Services | Professional | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Antioch, TN
- NPI 1518716414
Professional
-
- Professional Counselor
- Decatur, GA
- NPI 1811349640
-
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1497052963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1861521254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2489 CONNALLY DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303441077",
"telephone_number": "404-438-2294",
"fax_number": "678-732-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 WINN WAY",
"address_2": "SUITE 150",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301753",
"telephone_number": "404-438-2294",
"fax_number": "678-732-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "DELORES",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LPC, CCDP-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.