Individual provider Active NPI

Jacob Morris

  • Mental Health Counselor
  • Lynbrook, NY
National Provider Identifier
1083567085
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P140263 Issued in NY
Practice address
213 Hempstead Ave Unit a
Lynbrook, NY 11563-1656
Phone
(516) 256-9523
Fax
(516) 604-0281
NPI assigned
Feb 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P140263 NY Primary

Addresses

Primary practice location

213 Hempstead Ave Unit a
Lynbrook, NY 11563-1656

Mailing address

213 Hempstead Ave Unit a
Lynbrook, NY 11563-1656
Phone (516) 256-9523

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

LicenseStateTypeSpecialty
P140263NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Psychological Services, PLLC PastSince Jul 1, 2019 Accepting new patients
Blossoming Cherry Mental Health Counseling Services P.C. Mental Health PastSince Aug 6, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1083567085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HEMPSTEAD AVE UNIT A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631656",
            "telephone_number": "516-256-9523",
            "fax_number": "516-604-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HEMPSTEAD AVE UNIT A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631656",
            "telephone_number": "516-256-9523",
            "fax_number": "516-604-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P140263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.