Individual provider Active NPI

Morgan Jewell Kelly, M.A.

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1922558378
Registry record updated Jul 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A12175 Issued in NC
Practice address
1140 Kildaire Farm Road
Suite 200, Room 9
Cary, NC 27511
Phone
(919) 346-4571
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2018

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 A12175 NC Primary

Addresses

Primary practice location

1140 Kildaire Farm Road
Suite 200, Room 9
Cary, NC 27511

Mailing address

1140 Kildaire Farm Road
Suite 200, Room 9
Cary, NC 27511-4597
Phone (919) 346-4571

Other practice location 1

3708 Oakvale St
Raleigh, NC 27603-5620
Phone (919) 538-1917

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A12175NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532736000000",
    "number": "1922558378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM ROAD",
            "address_2": "SUITE 200, ROOM 9",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114597",
            "telephone_number": "919-346-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM ROAD",
            "address_2": "SUITE 200, ROOM 9",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-346-4571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 Oakvale St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276035620",
            "country_code": "US",
            "telephone_number": "919-538-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MORGAN",
        "middle_name": "JEWELL",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2018-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2018; 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.