Individual provider Active NPI

Morgan Ann Ajello, LPC

  • Professional Counselor
  • Oakdale, CT
National Provider Identifier
1952890659
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
46.003444 Issued in CT
Practice address
1 Fellows Rd Apt 47
Oakdale, CT 06370-1624
Phone
(959) 265-2947
NPI assigned
May 8, 2018
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 46.003444 CT Primary

Addresses

Primary practice location

1 Fellows Rd Apt 47
Oakdale, CT 06370-1624

Mailing address

1 Fellows Rd Apt 47
Oakdale, CT 06370-1624
Phone (860) 334-5900

Other practice location 1

4530 S Orange Blossom Trl # 924
Orlando, FL 32839-1704
Phone (959) 265-2947

Other identifiers 1

IdentifierTypeStateIssuer
46.003444MedicaidCT

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

State licenses

LicenseStateTypeSpecialty
46.003444CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Omata LLC CurrentSince Jun 4, 2023 Accepting new patients
Omata LLC Professional CurrentSince Jun 4, 2023 Accepting new patients

Locations

18 Oneco St
Ste 3
Norwich, CT 06360
Phone (860) 303-3172

4530 S Orange Blossom Trl
Orlando, FL 32839
Phone (321) 837-9745

Organizations & group practices 2

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1952890659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FELLOWS RD APT 47",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701624",
            "telephone_number": "860-334-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FELLOWS RD APT 47",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701624",
            "telephone_number": "959-265-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 S Orange Blossom Trl # 924",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328391704",
            "country_code": "US",
            "telephone_number": "959-265-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJELLO",
        "first_name": "MORGAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "46.003444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46.003444",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.