Individual provider Active NPI

Kelly Ann Morgan, PC

  • Professional Counselor
  • Cleveland HTS, OH
National Provider Identifier
1073842530
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0800317 Issued in OH
Practice address
3109 Mayfield Rd Ste 204
Cleveland HTS, OH 44118-1726
Phone
(440) 591-4366
NPI assigned
Dec 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0800317 OH Primary

Addresses

Primary practice location

3109 Mayfield Rd Ste 204
Cleveland HTS, OH 44118-1726

Mailing address

13940 Cedar Rd # 206
University HTS, OH 44118-3204
Phone (440) 379-1895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305002831 OH Practitioner - Mental Health Counselor 9234433152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindfulness-CounselingGroup PAC ID 2264736180, 11 clinicians

Practice addresses (Care Compare)

3109 Mayfield Rd
Suite 204
Cleveland Heights, OH 44118-1726
Phone (440) 591-4366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0800317OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness-Counseling Professional CurrentSince Mar 1, 2013 Accepting new patients
Hallie B. Durchslag, LTD PastSince Jan 9, 2024 Accepting new patients

Locations

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

14900 Detroit Ave
Ste 311
Lakewood, OH 44107
Phone (216) 482-8748

8500 Station St
Ste 102
Mentor, OH 44060
Phone (216) 245-7811

13940 Cedar Rd
University Hts, OH 44118
Phone (216) 213-6738

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1073842530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13940 CEDAR RD # 206",
            "city": "UNIVERSITY HTS",
            "state": "OH",
            "postal_code": "441183204",
            "telephone_number": "440-379-1895",
            "fax_number": "888-388-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 MAYFIELD RD STE 204",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181726",
            "telephone_number": "440-591-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-12",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0800317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

Verify at the official NPI Registry.