JERRY MORRIS


Address: 1303 Chatham St, Racine, WI 53402-4947
Phone: 2625981392

JERRY MORRIS (NPI# 1881067197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881067197
Entity Type Individual
Full Name JERRY MORRIS
Credential SAC-IT
Practice Address 1303 Chatham St
Racine
WI 53402-4947
Practice Telephone 2625981392
Practice Fax Number 2625981395
Mailing Telephone 2625891392
Mailing Fax Number 2625981395
Enumeration Date 2015-11-09
Last Update Date 2015-11-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
17429-130 WI Behavioral Health & Social Service Providers

Other Providers JERRY MORRIS

NPI Name Taxonomy Address Enumeration
1295922185 Jerry Ben Morris Community Based Residential Treatment Facility, Mental Illness 1333 E Richmond Ave, Fort Worth, TX 76104-6116 2007-09-25
1275684250 Jerry Russell Morris Social Worker 10730 Midland Trail Drive, Ashland, KY 41102 2007-01-16
1659474195 Jerry Lee Morris Orthopaedic Surgery 1431 Warner Ave Ste A, Tustin, CA 92780-6444 2006-09-07
1003881590 Jerry Walter Morris Family Medicine 1205 S. Whitechapel Blvd, #215, Southlake, TX 76092-0126 2006-02-20
1831170034 Jerry A Morris Jr. Counselor 815 S Ash St, Nevada, MO 64772-3222 2005-11-07
1558637520 Jerry Alan Morris Pharmacist 900 Quebec Ave, Corcoran, CA 93212-9715 2012-03-23
1316096621 Jerry Christopher Morris Chiropractor 51 Water Street, Ashland, OR 97520 2007-01-09

Office Location

Street Address 1303 CHATHAM ST
City RACINE
State WI
Zip Code 53402-4947

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215586847 Jennifer Ann Wagener Technician 1513 Melvin Ave, Racine, WI 53402 2019-09-06
1023530490 Tahir Vora Pharmacist 6840 Middle Rd Apt 8, Racine, WI 53402 2017-07-07
1154852069 Golden Path Services Home Health 1700 North Main Street, Upper, Racine, WI 53402 2017-03-22
1376842690 Vashir Jim Xiong Acupuncturist 3726 Ruby Ave, Racine, WI 53402 2011-03-25
1215248927 Andrew M Asbury Family Medicine 2408 Four Mile Rd, Racine, WI 53402 2010-06-28
1215058532 Lakeshore Family Dental Care Sc Dentist 3903 Douglas Ave, Racine, WI 53402 2007-04-03
1679626915 David Ramon Reesman Dentist 3900 North Bay Dr, Racine, WI 53402 2007-01-19
1639286958 Mary E Pagano Internal Medicine 5333 Douglas Ave, Racine, WI 53402 2006-08-23
1881605111 Caledonia Chiropractic Clinic, Sc Chiropractor 5401 Douglas Ave, Suite A, Racine, WI 53402 2006-08-11
1003923996 David C Zablotney Family Medicine 5333 Douglas Ave, Racine, WI 53402 2006-08-24
Find all providers in zip 53402

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396255 Cassandra C Coates Counselor 134 Main St Apt 117, Racine, WI 53403-4623 2020-11-03
1871953950 Amybeth Mahoney Counselor 4726 N Green Bay Rd, Racine, WI 53404-1108 2016-03-02
1255798351 Lazria Price Counselor 3801 Monarch Drive 2d, Racine, WI 53406-5500 2016-01-20
1225434244 Tuanquilla Montessa Thompson Counselor 829 Wisconsin Ave, Racine, WI 53403-1505 2014-11-18
1457780496 Pheynell Branch Counselor 1650 Wasington Ave, Racine, WI 53403 2013-11-08
1578811980 Orlesia Gay Gooseberry Counselor 1501 Albert St, North Unit Upper, Racine, WI 53404-2713 2012-08-16
1720363849 Carla Yvette Ward Counselor 5735 Durand Ave Suite A, Racine, WI 53406 2011-10-20
1871804963 Sharon Johnson-visor Counselor 6939 Mariner Dr Ste C, Racine, WI 53406-4090 2010-06-23
1770753766 Sara L De Grave Counselor 521 Sixth St, Racine, WI 53403-1117 2008-03-05
1083813224 Mwa Counseling Counselor 4425 Taylor Ave, Racine, WI 53405-4642 2007-07-17
Find all providers in RACINE

Competitor

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City RACINE
Zip Code 53402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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