Individual provider Active NPI

Morgan Whitely, M.ED., LPCC-S

  • Mental Health Counselor
  • Chardon, OH
National Provider Identifier
1386007870
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1800571-SUPV Issued in OH
Practice address
695 South St Ste 6
Chardon, OH 44024-1474
Phone
(440) 286-1553
Fax
(440) 286-1318
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1800571-SUPV OH Primary
Mental Health Counselor 101YM0800X C.1400332 OH

Addresses

Primary practice location

695 South St Ste 6
Chardon, OH 44024-1474

Mailing address

695 South St Ste 6
Chardon, OH 44024-1474
Phone (440) 286-1553

Other practice location 1

7519 Mentor Ave Ste 114
Mentor, OH 44060-5410
Phone (440) 701-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240430000430 OH Practitioner - Mental Health Counselor 0547600108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Counseling and Wellness LLCGroup PAC ID 5799038055, 11 clinicians

Practice addresses (Care Compare)

7547 Mentor Ave
Suite 300
Mentor, OH 44060-5432
Phone (440) 701-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C.1400332OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Pride of Northeast Ohio Incorporated CurrentSince Apr 24, 2024 Accepting new patients
Insight Counseling and Wellness LLC CurrentSince May 21, 2024 Accepting new patients
Family Pride of Northeast Ohio Incorporated Past Accepting new patients

Locations

398 W Bagley Rd
Ste 13
Berea, OH 44017
Phone (440) 970-3790

4565 Dressler Rd NW
Ste 112
Canton, OH 44718
Phone (330) 765-5160

521 5th Ave
Ste A
Chardon, OH 44024
Phone (440) 286-1553

695 South St
Ste 6
Chardon, OH 44024
Phone (440) 286-1553

7547 Mentor Ave
Ste 306
Mentor, OH 44060
Phone (440) 701-6170

7547 Mentor Ave
Ste 300
Mentor, OH 44060
Phone (440) 701-6170

7519 Mentor Ave
Ste 114
Mentor, OH 44060
Phone (440) 701-6170

7547 Mentor Ave
#300
Mentor, OH 44060

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/familyprideonline/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1386007870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST STE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474",
            "telephone_number": "440-286-1553",
            "fax_number": "440-286-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST STE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474",
            "telephone_number": "440-286-1553",
            "fax_number": "440-286-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7519 Mentor Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440605410",
            "country_code": "US",
            "telephone_number": "440-701-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITELY",
        "first_name": "MORGAN",
        "credential": "M.ED., LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800571-SUPV",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.