Active NPI
Casey Morgan Subero, LMHC, LPCC
- Professional Counselor
- Los Angeles, CA
National Provider Identifier
1730737453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11627
- Practice address
- 777 S Figueroa St Ste 810
Los Angeles, CA 90017-5813 - Phone
- (973) 704-0613
- NPI assigned
- Aug 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008946-1 | NY | |
| Professional Counselor | 101YP2500X | 11627 | CA | Primary |
Addresses
Primary practice location
777 S Figueroa St Ste 810
Los Angeles, CA 90017-5813
Mailing address
1036 Menlo Ave Apt 403
Los Angeles, CA 90006-2855
Phone (973) 704-0613
Other practice location 1
1000 G St Ste 125
Sacramento, CA 95814-0894
Phone (973) 704-0613
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Accumed | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008946-1 | NY | MD | Specialist |
| 11627 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Neighborhood Counseling Center Inc | Multi-Specialty | Current | Accepting new patients |
Locations
7701 13th Ave
Brooklyn, NY 11228
Phone (718) 232-1351
Interoperability endpoints
- casey.subero.1@25119.direct.athenahealth.com
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.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1457352098
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1730737453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 MENLO AVE APT 403",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062855",
"telephone_number": "973-704-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S FIGUEROA ST STE 810",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175813",
"telephone_number": "973-704-0613"
}
],
"practiceLocations": [
{
"address_1": "1000 G St Ste 125",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958140894",
"country_code": "US",
"telephone_number": "973-704-0613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUBERO",
"first_name": "CASEY",
"middle_name": "MORGAN",
"name_prefix": "Mr.",
"credential": "LMHC, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008946-1",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "11627",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Accumed",
"affiliation": "N",
"endpointDescription": "Electronic Database used at clinic",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7701 13th Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112282413",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.