JERRY MORRIS (NPI# 1881067197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
1303 CHATHAM ST |
City | RACINE |
State | WI |
Zip Code | 53402-4947 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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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.