Morris, Jerry A

Morris, Jerry A is an individual health care provider with primary practice located at 12541 Foster St Ste 200 , Overland Park KS 66213-2307. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Morris, Jerry A can be contacted via phone (913) 735-0955.

Contact Information

Primary practice address
12541 Foster St Ste 200 Overland Park KS 66213-2307
Phone: (913) 735-0955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000245 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00324 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 300028 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1264 Kansas

Profile Details

NPI number 1831170034
LBN Legal business name Morris, Jerry A
Credentials PSY.D., M.B.A., ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831170034 NPPES
Missouri Other 09708020 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 100240270A BLUE CROSS BLUE SHIELD
Missouri MEDICAID 493219703 BLUE CROSS BLUE SHIELD

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