Individual provider Active NPI

Morgan Melanie Kupsinel, LISW, LIMHP, IADC

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1629023312
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2061 Issued in NE
Practice address
427 E Kanesville Blvd
Suite 305
Council Bluffs, IA 51503-9079
Phone
(402) 213-7379
Fax
(712) 248-8813
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2061 NE Primary
Clinical Social Worker 1041C0700X 950 NE
Clinical Social Worker 1041C0700X 06785 IA

Addresses

Primary practice location

427 E Kanesville Blvd
Suite 305
Council Bluffs, IA 51503-9079

Mailing address

6710 Mason St
Omaha, NE 68106
Phone (402) 213-7379

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2061NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health PastSince Nov 1, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1629023312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 MASON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68106",
            "telephone_number": "402-213-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD",
            "address_2": "SUITE 305",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039079",
            "telephone_number": "402-213-7379",
            "fax_number": "712-248-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPSINEL",
        "first_name": "MORGAN",
        "middle_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "LISW, LIMHP, IADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2061",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.