Active NPI
Christianna Morgan, MA
- Mental Health Counselor
- Belmont, MA
National Provider Identifier
1497996151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 18 Moore St Ste 303
Belmont, MA 02478-2525 - Phone
- (617) 863-6626
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7705 | MA | |
| Social Worker | 104100000X | 313969 | MA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
18 Moore St Ste 303
Belmont, MA 02478-2525
Mailing address
21 Berkeley St
Somerville, MA 02143-1603
Phone (857) 523-9566
Other practice location 1
21 Berkeley St
Somerville, MA 02143-1603
Phone (857) 523-9566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300911 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313969 | MA | MD | Social Worker |
| 7705 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1497996151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BERKELEY ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431603",
"telephone_number": "857-523-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MOORE ST STE 303",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782525",
"telephone_number": "617-863-6626"
}
],
"practiceLocations": [
{
"address_1": "21 Berkeley St",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "MA",
"postal_code": "021431603",
"country_code": "US",
"telephone_number": "857-523-9566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "CHRISTIANNA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "7705",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "313969",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300911",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.