Individual provider Active NPI

Megumi Moritoki, LMHC, CASAC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1295162287
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007693 Issued in NY
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

Updated by the provider on May 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524000387 NY Practitioner - Mental Health Counselor 4789026550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23082NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PD Mental Health Counseling of Queens County PLLC Mental Health CurrentSince Mar 25, 2024 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.

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

Verify at the official NPI Registry.