Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUL DISCOVERY MENTAL HEALTH COUNSELING SERVICES PC
NPI 1003425299
Counselor - Mental Health in Malverne, NY

Q: What is Soul Discovery Mental Health Counseling Services PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since July 24, 2020

333 HEMPSTEAD AVE STE 203, MALVERNE, NY 11565(516) 252-1765(347) 620-7247 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, Sep 26, 2026, Jul 24, 2020 (3 updates tracked since 2020).

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About Soul Discovery Mental Health Counseling Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUL DISCOVERY MENTAL HEALTH COUNSELING SERVICES PC (NPI 1003425299) is a healthcare organization registered as a mental health in Malverne, New York and active in the NPI registry since July 2020. The organization lists Glenda Momrelle-clarke, Director, as its authorized official.

NPPES Registry Identity

NPI1003425299

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSOUL DISCOVERY MENTAL HEALTH COUNSELING SERVICES PC

Location Address333 HEMPSTEAD AVE STE 203Malverne, NY 11565-1242

Mailing Address333 Hempstead Ave Ste 203Malverne, NY 11565-1242 · (516) 252-1765 · Fax (347) 620-7247

Phone(516) 252-1765

Fax(347) 620-7247

Organization SubpartNo

Authorized OfficialGlenda Momrelle-clarkeDirector · (516) 425-1905

Enumeration DateJuly 24, 2020

Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1003425299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

333 HEMPSTEAD AVE STE 203, Malverne, NY 11565

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soul Discovery Mental Health Counseling Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Soul Discovery Mental Health Counseling Services PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Glenda Momrelle-Clarke, MHC

Mental Health Counselor

NPI 1366873069

333 HEMPSTEAD AVE SUITE 203
Malverne, NY 11565

(347) 344-0378

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soul Discovery Mental Health Counseling Services PC's NPI number?

The NPI number for Soul Discovery Mental Health Counseling Services PC is 1003425299. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is Soul Discovery Mental Health Counseling Services PC located?

Soul Discovery Mental Health Counseling Services PC is located at 333 Hempstead Ave Ste 203, Malverne, NY 11565. The listed phone number is (516) 252-1765.

What is Soul Discovery Mental Health Counseling Services PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Soul Discovery Mental Health Counseling Services PC enrolled in Medicare?

Yes. Soul Discovery Mental Health Counseling Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soul Discovery Mental Health Counseling Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Soul Discovery Mental Health Counseling Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Soul Discovery Mental Health Counseling Services PC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.