Jennifer Tousley Moynihan, LCSW, LADC-I, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20507 Issued in MA

Practice address

100 Cummings Ctr Ste 428J
Beverly, MA 01915-6122

Phone

(617) 584-5779

NPI assigned

May 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• River Cove Counseling LLC

  • Community/Behavioral Health Agency
  • Beverly, MA
  • NPI 1962173526
  NPD Authorized official

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1265921746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 428J",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "978-529-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 428J",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "617-584-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNIHAN",
        "first_name": "JENNIFER",
        "middle_name": "TOUSLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LADC-I, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "20507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Mosher, RD LDN
• Katherine Moskal, ATC
• Brittany Moss
• Layne Marie Moszner, L.M.H.C.
• Jacquelyn Marie Moynihan, RN
• Simon Sempagala Mpaka, LPN
• Kalubi Florence Muganguzi
• Christine Muise, PHARMD
• Michael Thomas Muldoon, PT
• Madison Mullaney

• Addiction (Substance Use Disorder) Counselor in Beverly, MA
• Providers in Beverly, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.