Kenneth Morella, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

201 Forest Ave
Staten Island, NY 10301-2763

Phone

(718) 815-3155

NPI assigned

Oct 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1366042103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012763",
            "telephone_number": "718-815-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012763",
            "telephone_number": "718-815-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLA",
        "first_name": "KENNETH",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Moreira, RN
• Gabriela Morejon, LMSW
• Maria Morejon, LCSW
• Renelly Morel
• Erica Morella, M.S CCC-SLP, TSSLD
• Kristen Morelli, PHARMD
• Tracyanne Morelli, RN
• Alejandra Moreno, LMSW
• Alexandra Moreno, RN
• Elizabeth Moreno, DDS

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.

Verify at the official NPI Registry.