NPI Code Detail JSON Logo

1063172039 NPI number — ANDREA MORRIS LPCC

NPI Number: 1063172039
Health Care Provider/Practitioner: ANDREA MORRIS LPCC

Information about “1063172039” NPI (ANDREA MORRIS LPCC) exists in 1063172039 in HTML format HTML  |  1063172039 in plain Text format TXT  |  1063172039 in PDF (Portable Document Format) PDF  |  1063172039 in an XML format XML  formats.

NPI Number : 1063172039 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063172039",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORRIS",
    "FirstName": "ANDREA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUCERO",
    "OtherFirstName": "ANDREA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "542 RUNNING W DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GILLETTE",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82718-2074",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-257-2331",
    "MailingAddressFaxNumber": "307-670-8024",
    "FirstLinePracticeLocationAddress": "172 N MAIN ST STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHERIDAN",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82801-3922",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-675-8840",
    "PracticeLocationAddressFaxNumber": "307-675-6378",
    "EnumerationDate": "12/17/2021",
    "LastUpdateDate": "07/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "LPC-2428",
        "LicenseNumberStateCode": "WY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.