Active NPI
Samantha Morlack
- Professional Counselor
- Forest Hills, NY
National Provider Identifier
1033581426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 7000 Austin St
#200
Forest Hills, NY 11375-1022 - Phone
- (718) 762-7633
- NPI assigned
- Oct 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
7000 Austin St
#200
Forest Hills, NY 11375-1022
Mailing address
2220 Kenora PL
Seaford, NY 11783-2715
Phone (609) 694-3486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
857 S Oyster Bay Rd
Bethpage, NY 11714-1030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Evans Center, Inc | Current | Accepting new patients |
Locations
857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bethpage, NY
- NPI 1972982007
-
- Federally Qualified Health Center (FQHC)
- Seaford, NY
- NPI 1215596614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445644800000",
"number": "1033581426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 KENORA PL",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832715",
"telephone_number": "609-694-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 AUSTIN ST",
"address_2": "#200",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751022",
"telephone_number": "718-762-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLACK",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-24",
"last_updated": "2015-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.