Active NPI
Michael Vella, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1023500378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 07674-1
- Practice address
- 153 W 27TH St Ste 300
New York, NY 10001-6259 - Phone
- (678) 748-0430
- NPI assigned
- Jun 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 07674-1 | NY | Primary |
Addresses
Primary practice location
153 W 27TH St Ste 300
New York, NY 10001-6259
Mailing address
47 Bay 10TH St
Brooklyn, NY 11228-3411
Phone (917) 969-1337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07674-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527897600000",
"number": "1023500378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 BAY 10TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112283411",
"telephone_number": "917-969-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W 27TH ST STE 300",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016259",
"telephone_number": "678-748-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELLA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-02",
"last_updated": "2018-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "07674-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.