Active NPI
Michael Lee Morin, CADC II
- Addiction (Substance Use Disorder) Counselor
- Sun Valley, CA
National Provider Identifier
1902017478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A7460112
- Practice address
- 8604 Lankershim Blvd
Sun Valley, CA 91352-3140 - Phone
- (818) 768-1640
- Fax
- (818) 768-1600
- NPI assigned
- May 25, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 128289 | CA | |
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A7460112 | CA | Primary |
Addresses
Primary practice location
8604 Lankershim Blvd
Sun Valley, CA 91352-3140
Mailing address
433 Riverdale Dr
#22
Glendale, CA 91204-1546
Phone (818) 291-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A7460112 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 128289 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1902017478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 RIVERDALE DR",
"address_2": "#22",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041546",
"telephone_number": "818-291-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8604 LANKERSHIM BLVD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913523140",
"telephone_number": "818-768-1640",
"fax_number": "818-768-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CADC II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "128289",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A7460112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.