Active NPI
Kayleigh Moss
- Mental Health Counselor
- Lynn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11525-MH-CC
- Practice address
- 269 Union St FL 3
Lynn, MA 01901-1314 - Phone
- (817) 691-9466
- NPI assigned
- Oct 31, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11525-MH-CC | MA | Primary |
Addresses
Primary practice location
269 Union St FL 3
Lynn, MA 01901-1314
Mailing address
269 Union St FL 3
Lynn, MA 01901-1314
Phone (973) 525-2639
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmoss@lchcnet.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Central Ave
Lynn, MA 01901-1314
269 Union St
Lynn, MA 01901-1314
Phone (959) 216-7305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11525-MH-CC | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Community Health, Inc. | Current | Accepting new patients |
Locations
280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555
269 Union St
Fl 3
Lynn, MA 01901
Phone (617) 789-2574
20 Central Ave
Fl 6
Lynn, MA 01901
Phone (513) 335-3366
269 Union St
Lynn, MA 01901
Phone (781) 581-9832
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.
-
- Federally Qualified Health Center (FQHC)
- Lynn, MA
- NPI 1013997691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1124662390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 UNION ST FL 3",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "973-525-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 UNION ST FL 3",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "817-691-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "KAYLEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "11525-MH-CC",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmoss@lchcnet.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "269 Union St Fl 3",
"city": "Lynn",
"state": "MA",
"country_code": "US",
"postal_code": "019011314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.
- 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.