Active NPI
Megumi Moritoki, LMHC, CASAC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1295162287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007693
- Practice address
- 6240 Wood Heaven Boulevard
Rego Park
New York, NY 11374 - Phone
- (718) 426-8117
- NPI assigned
- Oct 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23082 | NY | |
| Mental Health Counselor | 101YM0800X | 007693 | NY | Primary |
Addresses
Primary practice location
6240 Wood Heaven Boulevard
Rego Park
New York, NY 11374
Mailing address
804 E 138TH St
Bronx, NY 10454-1902
Phone (718) 665-7500
Other practice location 1
804 E 138th St
Bronx, NY 10454-1902
Phone (718) 665-7500 ext. 3034
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23082 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PD Mental Health Counseling of Queens County PLLC | Mental Health | Current | Accepting new patients |
Locations
7410 35th Ave
Apt 107W
Jackson Heights, NY 11372
Phone (718) 672-1538
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Jackson Heights, NY
- NPI 1548810088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1295162287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 E 138TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104541902",
"telephone_number": "718-665-7500",
"fax_number": "718-655-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 WOOD HEAVEN BOULEVARD",
"address_2": "REGO PARK",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-426-8117"
}
],
"practiceLocations": [
{
"address_1": "804 E 138th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104541902",
"country_code": "US",
"telephone_number": "718-665-7500 x3034",
"fax_number": "718-655-4768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORITOKI",
"first_name": "MEGUMI",
"name_prefix": "Miss",
"credential": "LMHC, CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "23082",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007693",
"primary": true
}
],
"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 May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.