Organization Active NPI

Kellumenterprisess

  • Mental Health Counselor
  • Mount Vernon, NY
National Provider Identifier
1407740632
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KELLUMENTERPRISESS
Practice address
109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274
Phone
(914) 357-9334
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Jamar Crow, LMHC-LPNPI 1174095541
Title
Ceo
Phone
(914) 357-9334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274

Mailing address

109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274
Phone (914) 357-9334

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1407740632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 4TH ST APT 1C",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504274",
            "telephone_number": "914-357-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 4TH ST APT 1C",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504274",
            "telephone_number": "914-357-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLUMENTERPRISESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "JAMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-357-9334",
        "authorized_official_credential": "LMHC-LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.