Individual provider Active NPI

Jose A. Morell, M.ED.,CAGS,LMHC,LADC

  • Mental Health Counselor
  • Lakeville, MA
National Provider Identifier
1912078114
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6284 Issued in MA
Practice address
10 Main St
Lakeville, MA 02347-1674
Phone
(781) 277-3300
Fax
(781) 205-1877
NPI assigned
Nov 11, 2006
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6284 MA Primary

Addresses

Primary practice location

10 Main St
Lakeville, MA 02347-1674

Mailing address

150 Miller St
Middleboro, MA 02346-3108
Phone (978) 998-0347

Other identifiers 1

IdentifierTypeStateIssuer
021130MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.josemorelllmhc.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241217000619 SC Practitioner - Mental Health Counselor 1850741356 Practice locations: Surfside Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 Hwy 17 N
Suite 107
Surfside Beach, SC 29575-6079
Phone (781) 277-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6284MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Cassidy Psychologist LLC Past 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, 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": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1912078114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MILLER ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463108",
            "telephone_number": "978-998-0347",
            "fax_number": "781-205-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471674",
            "telephone_number": "781-277-3300",
            "fax_number": "781-205-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.ED.,CAGS,LMHC,LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021130",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.josemorelllmhc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Phone",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "260 Washington St Ste 2-3",
            "city": "Pembroke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023591805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeville, MA

Sources for this page

Verify at the official NPI Registry.