DR. JERRY A MORRIS JR. (NPI# 1831170034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831170034 |
| Entity Type | Individual |
| Full Name | DR. JERRY A MORRIS JR. |
| Credential | PSY.D., M.B.A., ABPP |
| Practice Address |
815 S Ash St Nevada MO 64772-3222 |
| Practice Telephone | 4176678352 |
| Practice Fax Number | 4176679216 |
| Mailing Telephone | 4176678352 |
| Mailing Fax Number | 4176679216 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
000245 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1264 | KS | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
00324 | MO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 300028 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 09708020 | 01 |
| MO | 493219703 | 05 | |
| KS | 100240270A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881067197 | Jerry Morris | Counselor | 1303 Chatham St, Racine, WI 53402-4947 | 2015-11-09 |
| 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 |
| 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 |
815 S ASH ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324048 | Amanda Tompkins | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2020-07-27 |
| 1134637937 | Marissa Opal Moore | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2018-01-15 |
| 1528579976 | Cindy Layne Brannan | Registered Nurse | 815 S Ash St, Nevada, MO 64772-3222 | 2017-10-12 |
| 1629599873 | Bethany K Fast | Nurse Practitioner | 815 S Ash St, Nevada, MO 64772-3222 | 2017-06-28 |
| 1689194003 | Elizabeth Penick | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2017-06-27 |
| 1558819458 | Katherine Hogsett | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2016-09-20 |
| 1528417581 | Community Mental Health Consultants | Clinic/Center | 815 S Ash St, Nevada, MO 64772-3222 | 2016-06-09 |
| 1073904660 | Maria Wylde-veit | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2015-02-18 |
| 1417386426 | Jeremy David Turk | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2013-11-11 |
| 1023203072 | Chris F Thomas | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659625937 | Wellness Company Vii | Psychologist | 1819 W Austin Blvd Ste C, Nevada, MO 64772-3708 | 2012-11-07 |
| 1346310356 | Carolyn Karr | Psychologist | 1819 West. Austin, Suite C, Nevada, MO 64772-2202 | 2006-11-08 |
| 1356426308 | Patricia E Bridgewater | Psychologist | 1819 West Austin, Suite C, Nevada, MO 64772-2202 | 2006-10-26 |
| 1902880412 | Holly B Chatain | Psychologist | 100 S Prewitt St, Nevada, MO 64772-1760 | 2005-11-30 |
| 1740264241 | Christopher J Carlin | Psychologist | 101 N Commercial St, Nevada, MO 64772-2607 | 2005-11-30 |
| 1033101613 | Robert Jeffery Mitchell Sr. | Psychologist | 319 N Osage Blvd, Nevada, MO 64772-2636 | 2005-08-18 |
| 1609119957 | Cody Lee Bond | Psychologist | 320 Mac Blvd, Nevada, MO 64772 | 2013-04-04 |
| 1922358613 | Brett Christopher Miller | Psychologist | 320 Mac Blvd, Nevada, MO 64772-3990 | 2012-09-11 |
| 1265735294 | Psylin, Inc. | Psychologist | 101 N Commercial St, Nevada, MO 64772-2607 | 2010-12-14 |
| 1710062757 | Sharon West Lansing | Psychologist | 300 W Cherry St, Nevada, MO 64772-2202 | 2006-10-26 |
| Find all providers in NEVADA | ||||
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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.