Individual provider Active NPI

Jill Laura Morell, LLPC

  • Counselor
  • Grand Haven, MI
National Provider Identifier
1619215639
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401012399 Issued in MI
Practice address
234 1/2 Washington Ave
Grand Haven, MI 49417-3307
Phone
(616) 607-4476
Fax
(616) 935-7177
NPI assigned
Jan 25, 2013
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012399 MI Primary

Addresses

Primary practice location

234 1/2 Washington Ave
Grand Haven, MI 49417-3307

Mailing address

234 1/2 Washington Ave
Grand Haven, MI 49417-3307
Phone (616) 607-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104002597 MI Practitioner - Mental Health Counselor 1254782154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401012399MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Start and Associates Psychological Support, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

234 Washington Ave
Grand Haven, MI 49417
Phone (616) 402-0026

320 Columbus Ave
Grand Haven, MI 49417
Phone (231) 903-3021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1619215639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 1/2 WASHINGTON AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494173307",
            "telephone_number": "616-607-4476",
            "fax_number": "616-935-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 1/2 WASHINGTON AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494173307",
            "telephone_number": "616-607-4476",
            "fax_number": "616-935-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "JILL",
        "middle_name": "LAURA",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.