Individual provider Active NPI

Roberta Harris- Moran, L-CSW

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1225112295
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L033962-1 Issued in NY
Practice address
1837 Hertel Ave
Buffalo, NY 14216
Phone
(716) 834-5114
Fax
(716) 834-5116
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L033962-1 NY Primary

Addresses

Primary practice location

1837 Hertel Ave
Buffalo, NY 14216

Mailing address

1837 Hertel Ave
Buffalo, NY 14216-3006
Phone (716) 834-5114

Other identifiers 4

IdentifierTypeStateIssuer
074440564OtherNYUNITED BEHAVIORAL HEALTH
6190173OtherNYINDEPENDENT HEALTH
00511001001OtherNYBLUE CROSS BLUE SHEILD
00025069101OtherNYUNIVERVA

Other names 1

  • Ms. Barbara Harris- Moran Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20050729000124 NY Practitioner - Clinical Social Worker 5890723092 Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1837 Hertel Ave
Buffalo, NY 14216-3006
Phone (716) 834-5114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L033962-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1225112295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163006",
            "telephone_number": "716-834-5114",
            "fax_number": "716-834-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-834-5114",
            "fax_number": "716-834-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS- MORAN",
        "first_name": "ROBERTA",
        "name_prefix": "Ms.",
        "credential": "L-CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "L033962-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "074440564",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6190173",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "00511001001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERVA",
            "identifier": "00025069101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "HARRIS- MORAN",
            "prefix": "MS.",
            "credential": "L-CSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.