Active NPI
Kellumenterprisess
- Mental Health Counselor
- Mount Vernon, NY
National Provider Identifier
1407740632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamar Crow, LMHC-LP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Mount Vernon, NY
- NPI 1174095541
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.