Glenda Momrelle-Clarke, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005770-1 Issued in NY

Practice address

333 Hempstead Ave
Suite 203
Malverne, NY 11565-1156

Phone

(347) 344-0378

NPI assigned

Dec 5, 2013

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Soul Discovery Mental Health Counseling Services PC

  • Mental Health Counselor
  • Malverne, NY
  • NPI 1003425299
  Medicare reassignment NPD Authorized official
• Parent Information Exchange

  • Intellectual & Developmental Disabilities Psychologist
  • West Hempstead, NY
  • NPI 1417612755
  NPD
• Life Healing Choices, LLC

  • Community/Behavioral Health Agency
  • Saint Albans, NY
  • NPI 1578938049
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1366873069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 OWASCO RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524221",
            "telephone_number": "516-847-4636",
            "fax_number": "347-620-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HEMPSTEAD AVE",
            "address_2": "SUITE 203",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651156",
            "telephone_number": "347-344-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMRELLE-CLARKE",
        "first_name": "GLENDA",
        "name_prefix": "Ms.",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005770-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Miller
• Kristina Miltcheva, LMT
• Margherita Miserandino, MA, CCC-SLP
• Angela Mitsas
• Leonor F. Molina, M.A., P.T.
• Elizabeth Montemarano, M.S., CCC-SLP
• Gail Morsellino
• Ellen Gail Naiman Michaels, P.T.
• Veronica Christman Nealon, M.S., P.T.
• North Island Medical PLLC

• Mental Health Counselor in Malverne, NY
• Providers in Malverne, 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 Mar 14, 2023; 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.