MORRIS KELLYBREW CADAC-CAS
NPI 1164960076
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

NPI Status: Active since February 10, 2017

Contact Information

1230 N MARENGO AVE
PASADENA, CA
ZIP 91103
Phone: (626) 797-1124
Fax: (626) 398-9674

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  • Individual
  • Male
  • Counselor
  • Addiction (Substance Use Disorder)

About MORRIS KELLYBREW

This page provides the complete NPI Profile along with additional information for Morris Kellybrew, a provider established in Pasadena, California with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1164960076 assigned on February 2017. The practitioner's primary taxonomy code is 101YA0400X with license number C6461214 (CA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1164960076
Provider Name
MORRIS KELLYBREW CADAC-CAS
Gender
Male
Entity Type
Individual
Location Address
1230 N MARENGO AVE PASADENA, CA 91103
Location Phone
(626) 797-1124
Location Fax
(626) 398-9674
Mailing Address
1230 N MARENGO AVE PASADENA, CA 91103
Is Sole Proprietor?
No
Enumeration Date
02-10-2017
Last Update Date
02-10-2017
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A Substance Abuse or Addiction Counselor like Morris Kellybrew advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
C6461214
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C6461214MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164960076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241860014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 8 + 6 + 0 + 0 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1164960076 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295038404GRANDVIEW FOUNDATION, INC.
Organization
Substance Abuse Rehabilitation Facility1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1144602848MR. FERNANDO LODEVICO
Individual
Case Manager/Care Coordinator1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1083096622MRS. ANNA NUNEZ CATCII
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1255876967 RENEE ROCHELLE FREELAND CADC-II
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1013424324 LUIS ALFREDO NAVA
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1922580851MR. ALFRED S MACIAS
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1386102895 RENE REYES
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1841856655 MAURICE EUGENE WASHINGTON RADT
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1093341836 RUBEN TOVMASYAN
Individual
Technician/Technologist1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1407990757GRANDVIEWFOUNDATION, INC
Organization
Voluntary or Charitable1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1346827755 NICHOLAS MARCUS BELL RADT1
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1396322384 JAMIE LLAMAS
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1528638426 MATTHEW JAMES CARROLL
Individual
Behavior Technician1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1588331532 DYLAN SINGER
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1053080564 IVAN VILLASENOR
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1376291377 ERIC ROSALES
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1427704261 DANIEL BESS
Individual
Psychoanalyst1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1093458747MS. SHELLY DEE WOOD JD
Individual
Social Worker1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1598407231 FRANKIE LILES
Individual
Specialist/Technologist (Athletic Trainer)1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124
1508387473 JIMMY LACEY
Individual
Counselor (Addiction (Substance Use Disorder))1230 N MARENGO AVE
PASADENA, CA 91103
(626) 797-1124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164960076, enumerated in the NPI registry as an "individual" on February 10, 2017

The provider is located at 1230 N Marengo Ave Pasadena, Ca 91103 and the phone number is (626) 797-1124

The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 10, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.