Active NPI
Kristen Moreau
- Counselor
- Woonsocket, RI
National Provider Identifier
1124317433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC508
- Practice address
- 181 Cumberland St
Woonsocket, RI 02895-3301 - Phone
- (401) 235-7000
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC508 | RI | Primary |
Addresses
Primary practice location
181 Cumberland St
Woonsocket, RI 02895-3301
Mailing address
181 Cumberland St
PO Box 1700
Woonsocket, RI 02895-3301
Phone (401) 235-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC508 | RI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Alliance | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Woonsocket, RI
- NPI 1437191061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1124317433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 CUMBERLAND ST",
"address_2": "PO BOX 1700",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953301",
"telephone_number": "401-235-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CUMBERLAND ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953301",
"telephone_number": "401-235-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREAU",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "RI",
"license": "PC508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.