JESSICA NICOLE MORRISS LADC NPI 1790216687

NPI Information

NPI: 1790216687
Provider Name: JESSICA NICOLE MORRISS, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN
ZIP 55425
Phone: (952) 767-2267
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Jessica Nicole Morriss, LADC is an addiction (substance use disorder) counselor in Bloomington, MN. Jessica Nicole Morriss, LADC NPI is 1790216687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN
ZIP 55425-230
Phone: (952) 767-2267

The NPI 1790216687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 1/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LADC303044	MINNESOTA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	303044	MINNESOTA	No
3	103TP2701X	Psychologist	Group Psychotherapy	LADC303044	MINNESOTA	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LADC303044	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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