Individual provider Active NPI

Matthew Morse, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1407567332
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012778 Issued in NY
Practice address
31 E 12TH St Apt 1E
New York, NY 10003-4624
Phone
(646) 872-6840
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 012778 NY Primary

Addresses

Primary practice location

31 E 12TH St Apt 1E
New York, NY 10003-4624

Mailing address

14 4TH St Apt 1B
Brooklyn, NY 11231-4585
Phone (646) 872-6840

Other practice location 1

14 4th St Apt 1B
Brooklyn, NY 11231-4585
Phone (646) 872-6840

Other identifiers 1

IdentifierTypeStateIssuer
012778OtherNYLMHC LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL matthewmorse9@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1407567332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 4TH ST APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314585",
            "telephone_number": "646-872-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E 12TH ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034624",
            "telephone_number": "646-872-6840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 4th St Apt 1B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112314585",
            "country_code": "US",
            "telephone_number": "646-872-6840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORSE",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC LICENSE NUMBER",
            "identifier": "012778",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "matthewmorse9@gmail.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "14 4th St Apt 1B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112314585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.