Individual provider Active NPI

Karen Lynn Moen

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1346872645
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P014377 Issued in NC
Practice address
4600 University Dr Apt 1212
Durham, NC 27707-6121
Phone
(919) 949-9246
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 P014377 NC Primary

Addresses

Primary practice location

4600 University Dr Apt 1212
Durham, NC 27707-6121

Mailing address

4600 University Dr Apt 1212
Durham, NC 27707-6121
Phone (919) 949-9246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240620001986 PA Practitioner - Clinical Social Worker 7517400344 Reassigns benefits to 1 organization
I20240620002521 NC Practitioner - Clinical Social Worker 7517400344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC NC LLCGroup PAC ID 9739445552, 11 clinicians
Penn Foundation IncGroup PAC ID 0446246011, 25 clinicians

Practice addresses (Care Compare)

150 Olde Duck Rd
Kitty Hawk, NC 27949-4533
Phone (855) 241-7160

807 Lawn Ave
Sellersville, PA 18960-1549
Phone (215) 257-6551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014377NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Foundation Inc CurrentSince Jun 11, 2024 Accepting new patients
BMSC NC LLC CurrentSince Apr 25, 2024 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

807 Lawn Ave
Sellersville, PA 18960

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1346872645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 UNIVERSITY DR APT 1212",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076121",
            "telephone_number": "919-949-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 UNIVERSITY DR APT 1212",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076121",
            "telephone_number": "919-949-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P014377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.