Individual provider Active NPI

Marisol Morales, MS, LADC,CAC

  • Addiction (Substance Use Disorder) Counselor
  • New Haven, CT
National Provider Identifier
1689266025
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001396 Issued in CT
Practice address
986 Quinnipiac Ave Unit 6
New Haven, CT 06513-2357
Phone
(203) 285-7846
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001396 CT Primary

Addresses

Primary practice location

986 Quinnipiac Ave Unit 6
New Haven, CT 06513-2357

Mailing address

986 Quinnipiac Ave Unit 6
New Haven, CT 06513-2357
Phone (203) 285-7846

Other names 1

  • Marisol Morales Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20241203004057 CT Practitioner - Mental Health Counselor 1850827650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 James St
New Haven, CT 06513-4222
Phone (203) 777-7411

164 Grand Ave
New Haven, CT 06513-3938
Phone (203) 777-7411

293 Clinton Ave
New Haven, CT 06513-2814
Phone (203) 777-7411

339 Eastern St
BLDG B
New Haven, CT 06513-2463
Phone (203) 777-7411

35 Wheelbarrow LN
East Haven, CT 06513-2003
Phone (203) 777-7411

374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411

374 Grand Ave
New Haven, CT 06513-3787

50 Grand Ave
New Haven, CT 06513-3949
Phone (203) 777-7411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001396CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Haven Community Health Clinic Inc Current Accepting new patients
Fair Haven Community Health Clinic, Inc CurrentSince Nov 1, 2024 Accepting new patients
Fair Haven Community Health Clinic, Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

374 Grand Ave
New Haven, CT 06513
Phone (203) 752-5203

Organizations & group practices 3

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1689266025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 QUINNIPIAC AVE UNIT 6",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065132357",
            "telephone_number": "203-285-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 QUINNIPIAC AVE UNIT 6",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065132357",
            "telephone_number": "203-285-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "MARISOL",
        "credential": "MS, LADC,CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "MORALES",
            "credential": "MS, LADC, CAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.