Individual provider Active NPI

Yvonne Mora

  • Mental Health Counselor
  • Danbury, CT
National Provider Identifier
1316562622
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
405 Main St
Danbury, CT 06810-4710
Phone
(203) 743-4412
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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 Primary

Addresses

Primary practice location

405 Main St
Danbury, CT 06810-4710

Mailing address

12 Beckerle St
Danbury, CT 06811-4608
Phone (203) 917-8601

Other practice location 1

12 Beckerle St
Danbury, CT 06811-4608
Phone (203) 917-8601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240710001242 CT Practitioner - Mental Health Counselor 6305381708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Therapy Space CTGroup PAC ID 4587197272, 2 clinicians

Practice addresses (Care Compare)

98 Mill Plain Rd
Suite 3C
Danbury, CT 06811-6101
Phone (203) 240-7093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6577CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Fairfield County Inc CurrentSince May 1, 2024 Accepting new patients
Crossroads Counseling Services Current Accepting new patients
Therapy Space CT CurrentSince Sep 1, 2024 Accepting new patients
Catholic Charities of Fairfield County, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

405 Main St
Danbury, CT 06810
Phone (203) 416-1503

98 Mill Plain Rd
Ste 3C
Danbury, CT 06811
Phone (203) 240-7093

120 East Ave
Ste 2
Norwalk, CT 06851
Phone (203) 750-9711

100 Danbury Rd
Ste 203B
Ridgefield, CT 06877
Phone (203) 240-7093

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1316562622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BECKERLE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114608",
            "telephone_number": "203-917-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104710",
            "telephone_number": "203-743-4412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Beckerle St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068114608",
            "country_code": "US",
            "telephone_number": "203-917-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.