Active NPIOrganization

Kellumenterprisess

Counselor, Mental Health in Mount Vernon, New York

NPI Number1407740632
Practice location
109 E 4TH St Apt 1C, Mount Vernon, NY 10550-4274
Fax
—
Last updated
June 4, 2025

Kellumenterprisess is a healthcare organization based in Mount Vernon, NY. Kellumenterprisess practices in Mount Vernon, NY. The NPI Number for Kellumenterprisess is 1407740632. The current practice location address for Kellumenterprisess is 109 E 4TH St Apt 1C, Mount Vernon, NY 10550-4274 and can be reached out via phone at 914-357-9334.

Provider Profile Details

NPI Number
1407740632
Provider Name
Kellumenterprisess
Provider Entity Type
Organization
Address
109 E 4TH St Apt 1C, Mount Vernon, NY 10550-4274
Phone Number
914-357-9334
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Jamar Crow, LMHC-LP · Ceo · 914-357-9334
Provider Enumeration Date
June 4, 2025
Last Update Date
June 4, 2025
Certification Date
June 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274
Zip
10550-4274
Phone Number
914-357-9334
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274
City
Mount Vernon
State
NY
Zip
10550-4274
Phone Number
914-357-9334

License Information

Taxonomy (1)
Clinic/Center, Adult Mental Health · 261QM0850X
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kellumenterprisess?

The NPI number of Kellumenterprisess is 1407740632. It was assigned on June 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Kellumenterprisess?

Kellumenterprisess is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kellumenterprisess practice?

The practice location is 109 E 4TH St Apt 1C, Mount Vernon, NY 10550-4274. The office can be reached at 914-357-9334 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407740632 directly on the NPPES registry website.

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