Organization Active NPI

KMP Therapy Licensed Mental Health Counseling, PLLC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1205695665
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KMP THERAPY LICENSED MENTAL HEALTH COUNSELING, PLLC
Practice address
224 W 30TH St RM 903
New York, NY 10001-0981
Phone
(631) 632-5136
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Anabell Morales
Title
Book Keeper
Phone
(212) 877-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

224 W 30TH St RM 903
New York, NY 10001-0981

Mailing address

26 Jomar Rd
Shoreham, NY 11786-1936
Phone (631) 632-5136

National Provider Directory

National Provider Directory

Locations

224 W 30th St
Rm 903
New York, NY 10001
Phone (347) 244-7873

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1205695665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JOMAR RD",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861936",
            "telephone_number": "631-632-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W 30TH ST RM 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010981",
            "telephone_number": "631-632-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMP THERAPY LICENSED MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ANABELL",
        "authorized_official_title_or_position": "BOOK KEEPER",
        "authorized_official_telephone_number": "212-877-5500"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.