In the Moment Child and Family Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

478-228 Issued in WI

Legal business name

IN THE MOMENT CHILD AND FAMILY THERAPY, LLC

Practice address

6705 Wesner Rd
Verona, WI 53593-9178

Phone

(608) 620-3486

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Kathleen Moffett Harwood, MS

Title

Sole Propriator

Phone

(608) 436-0506

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Kathleen L Harwood, LPC

  • Mental Health Counselor
  • Verona, WI
  • NPI 1871054221
  NPD (past)

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1376913129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 GARFIELD AVE",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361067",
            "telephone_number": "608-436-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 WESNER RD",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939178",
            "telephone_number": "608-620-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN THE MOMENT CHILD AND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MOFFETT",
        "authorized_official_title_or_position": "SOLE PROPRIATOR",
        "authorized_official_telephone_number": "608-436-0506",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "478-228",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2694-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo E Hubbard, PA-C
• Hannah K Huber
• Tami Sue Hunt, O.D.
• Sarah Hurd, COTA/L
• Impact Physical Therapy & Performance LLC
• Infinite Relationships LLC
• Brittany Innes, OTR/L
• Sophia Gabrielle Izydor
• Ariele J Jackson
• Sarah Jean James, D.O.

• Community/Behavioral Health Agency in Verona, WI
• Providers in Verona, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.