Individual provider Active NPI

Kelly Davis Morley, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1144956590
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013356 Issued in VA
Practice address
485 S Independence Blvd Ste 104
Virginia Beach, VA 23452-1129
Phone
(757) 652-7213
NPI assigned
Jul 28, 2022
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 0701013356 VA Primary

Addresses

Primary practice location

485 S Independence Blvd Ste 104
Virginia Beach, VA 23452-1129

Mailing address

485 S Independence Blvd Ste 104
Virginia Beach, VA 23452-1129
Phone (757) 652-7213

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNMedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly@mindovermattertherapy.net Direct

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
0701013356VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1144956590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S INDEPENDENCE BLVD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521129",
            "telephone_number": "757-652-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S INDEPENDENCE BLVD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521129",
            "telephone_number": "757-652-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLEY",
        "first_name": "KELLY",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@mindovermattertherapy.net",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "485 S Independence Blvd Ste 104",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234521129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.