Karen Moore, MS CLINICAL PSYCHOLO

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401223025 Issued in MI

Practice address

7699 W Woodbridge Cir
#201
Westland, MI 48185-7244

Phone

(734) 778-7954

NPI assigned

Apr 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephanie Williams, PHD, LP, PLLC

  • Clinical Psychologist
  • Ferndale, MI
  • NPI 1740512979
  Medicare reassignment NPD

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1043665714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7698 W WOODBRIDGE CIR APT 101",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857245",
            "telephone_number": "734-778-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 W WOODBRIDGE CIR",
            "address_2": "#201",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857244",
            "telephone_number": "734-778-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAREN",
        "credential": "MS CLINICAL PSYCHOLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Arinze Mojume, RPT
• Jesse Molina Jr., CPSS, CPRS
• Gregory Monroe, D.O.
• Amber Renee Montayne, RN
• Scott Andrew Montes
• Nandhi S Moorthy, DOR
• Matthew Morang, BS
• Michelle Nicole Morgan
• Ryoko Shimizu Morgan, L.P.C.
• Morris, Simmons and Associates

• Professional Counselor in Westland, MI
• Providers in Westland, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.