Active NPI
Kristal Morrello, LCPC
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1558675678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CP0232
- Practice address
- 3376 S Eastern Ave Ste 160
Las Vegas, NV 89169-3388 - Phone
- (702) 490-9009
- NPI assigned
- Jul 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Mental Health Counselor | 101YM0800X | CP0232 | NV | Primary |
Addresses
Primary practice location
3376 S Eastern Ave Ste 160
Las Vegas, NV 89169-3388
Mailing address
1465 30TH St Ste L
San Diego, CA 92154-3497
Phone (619) 428-1000
Other practice location 1
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone (800) 539-2495
Other practice location 2
1465 30th St Ste L
San Diego, CA 92154-3497
Phone (619) 428-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP0232 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1558675678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 30TH ST STE L",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543497",
"telephone_number": "619-428-1000",
"fax_number": "619-428-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3376 S EASTERN AVE STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693388",
"telephone_number": "702-490-9009"
}
],
"practiceLocations": [
{
"address_1": "871 Coronado Center Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890523977",
"country_code": "US",
"telephone_number": "800-539-2495",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1465 30th St Ste L",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921543497",
"country_code": "US",
"telephone_number": "619-428-1000",
"fax_number": "619-428-1091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRELLO",
"first_name": "KRISTAL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-30",
"last_updated": "2022-03-08",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP0232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.