NPIMap

Organization Active NPI

Moving Forward Counseling Services, LLC

  • Clinical Social Worker
  • Peabody, MA
National Provider Identifier
1386262178
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOVING FORWARD COUNSELING SERVICES, LLC
Practice address
40 Lowell St Ste 13
Peabody, MA 01960-5400
Phone
(978) 856-5493
NPI assigned
Jul 8, 2020
Organization subpart
Yes
Parent organization
MOVING FORWARD COUNSELING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Kathleen Jeffery, LICSWNPI 1427469451
Title
Manager
Phone
(978) 856-5493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

40 Lowell St Ste 13
Peabody, MA 01960-5400

Mailing address

5 Juniper LN
Georgetown, MA 01833-1614

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SIMPLEPRACTICEEMR

National Provider Directory

National Provider Directory
Part of
Moving Forward Counseling Services LLC

Locations

40 Lowell St
Ste 13
Peabody, MA 01960
Phone (978) 856-5493

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1386262178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JUNIPER LN",
            "city": "GEORGETOWN",
            "state": "MA",
            "postal_code": "018331614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LOWELL ST STE 13",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605400",
            "telephone_number": "978-856-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING FORWARD COUNSELING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOVING FORWARD COUNSELING SERVICES, LLC",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "JEFFERY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-856-5493",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SIMPLEPRACTICEEMR",
            "affiliation": "N",
            "address_1": "40 Lowell St Ste 13",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019605400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.