Active NPI
Mikaela M. Morcombe, LPC
- Professional Counselor
- Moorestown, NJ
National Provider Identifier
1083222590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00948400
- Practice address
- 740 Marne Hwy Ste 108
Moorestown, NJ 08057-3126 - Phone
- (732) 982-2888
- NPI assigned
- Jul 21, 2020
- Last updated
- May 17, 2023
- 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 | 37PC00948400 | NJ | Primary |
Addresses
Primary practice location
740 Marne Hwy Ste 108
Moorestown, NJ 08057-3126
Mailing address
740 Marne Hwy Ste 108
Moorestown, NJ 08057-3126
Phone (732) 982-2888
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 |
|---|---|---|---|
| 37PC00948400 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC of Buffalo Grove Clinical Psychology | Current | Accepting new patients | |
| New Jersey Behavioral Health P.C | Current | Accepting new patients |
Locations
175 E Hawthorne Pkwy
Ste 235
Vernon Hills, IL 60061
Phone (847) 865-4125
740 Marne Hwy
Ste 108
Moorestown, NJ 08057
Phone (732) 644-3008
Interoperability endpoints
- lifestancehealth.mikaelamorcombe@148376.advancedmd-direct.com
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.
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- NPI 1235430612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1083222590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 MARNE HWY STE 108",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573126",
"telephone_number": "732-982-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 MARNE HWY STE 108",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573126",
"telephone_number": "732-982-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORCOMBE",
"first_name": "MIKAELA",
"middle_name": "M.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-21",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00948400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
- Moorestown Smile Center LLC
- Moorestown Township Public Schools
- Moorestown Visiting Nurse Association
- Moorestown Visiting Nurse Association Inc (The Hospice of Moorestown VNA)
- Moorestown Visiting Nurse Association Inc
- Moront Medical Associates LLC
- Barbara Jeanne Moront, MD
- Marc Ernest Morrell, D.M.D.
- Sarah Elizabeth Morris, PT, DPT
- Morrone & Kaye Orthodontics P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.