Individual provider Active NPI

Abigail Dali Morales

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1093243644
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P96545 Issued in NY
Practice address
2031 Forest Ave Ste 2
Staten Island, NY 10303-1796
Phone
(718) 815-6560
Fax
(347) 861-7303
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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 P96545 NY Primary

Addresses

Primary practice location

2031 Forest Ave Ste 2
Staten Island, NY 10303-1796

Mailing address

2031 Forest Ave Ste 2
Staten Island, NY 10303-1796

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503001865 NY Practitioner - Mental Health Counselor 4486010329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P96545NYMDMental Health Counselor
009615NYMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Christian Community Health Center Inc CurrentSince Oct 24, 2024 Accepting new patients
Beacon Christian Community Health Center, Inc. Current Accepting new patients

Locations

2079 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560

2031 Forest Ave
Ste 2
Staten Island, NY 10303
Phone (718) 815-6560

2031 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1093243644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 FOREST AVE STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 FOREST AVE STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031796",
            "telephone_number": "718-815-6560",
            "fax_number": "347-861-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ABIGAIL",
        "middle_name": "DALI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P96545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.