Moira Monaghan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801058027 Issued in MI

Practice address

6477 Syers Rd
Holton, MI 49425-7508

Phone

(231) 733-6820

NPI assigned

May 16, 2019

Last updated

Aug 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Moira Pearson Former name

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Center of West Michigan LLCGroup PAC ID 9234469255, 154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  Medicare reassignment Care Compare group NPD
• BMSC Mi LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1639577927
  Medicare reassignment NPD
• Hackley Community Care Center Inc

  dba Holton High School

  • Federally Qualified Health Center (FQHC)
  • Holton, MI
  • NPI 1841844016
  NPD

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1043876808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WAVERLY AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172354",
            "telephone_number": "616-581-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6477 SYERS RD",
            "city": "HOLTON",
            "state": "MI",
            "postal_code": "494257508",
            "telephone_number": "231-733-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 E Beltline Ave NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495061214",
            "country_code": "US",
            "telephone_number": "616-805-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONAGHAN",
        "first_name": "MOIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOIRA",
            "last_name": "PEARSON",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hackley Community Care Center Inc (Holton High School)
• Hackley Community Care Center Inc (Holton Elementary School)
• Lakeshore Care Corp
• Lakeshore Care Corp
• Jaylene Marsh, CTRS
• Kennedy Porter
• Janet Carol Smith, LMSW
• Gabriayle Stapf, CPD, CBD

• Clinical Social Worker in Holton, MI
• Providers in Holton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.