Kevin Moore Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005489A Issued in IN

Legal business name

KEVIN MOORE COUNSELING, LLC

Practice address

313 S 3Rd St
Goshen, IN 46526-3709

Phone

(574) 529-5090

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kevin L Moore, LCSWNPI 1154452910

Title

Therapist

Phone

(574) 529-5090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Moore, MSW, LCSW

  • Clinical Social Worker
  • Goshen, IN
  • NPI 1154452910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1154827129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "NORTH WEBSTER",
            "state": "IN",
            "postal_code": "465550761",
            "telephone_number": "574-529-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263709",
            "telephone_number": "574-529-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MOORE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "574-529-5090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005489A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L Keim, D.C.
• Paul Elliott Keller, DDS
• Marlina Dee Kelly
• Tracy Lynn Kelsey, D.M.D.
• Joel William Kern, LCSW
• Saira Khan, MD
• Ram Khattri Chettri, FNP-C, MS, MATS, RN
• Angela Kay Kidd, COTA
• Britney Leigh Anne Kidd
• Kenya M Kidder, LCSW

• Clinical Social Worker in Goshen, IN
• Providers in Goshen, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.