Organization Active NPI

Moving Mountains Mental Health Counseling PLLC

  • Mental Health Counselor
  • Liverpool, NY
National Provider Identifier
1386448082
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOVING MOUNTAINS MENTAL HEALTH COUNSELING PLLC
Practice address
8412 Moss Oak TRL
Liverpool, NY 13090-1111
Phone
(631) 671-1651
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Katherine Hamdan, LMHCNPI 1215526702
Title
Mental Health Counselor
Phone
(423) 507-7910

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8412 Moss Oak TRL
Liverpool, NY 13090-1111

Mailing address

8412 Moss Oak TRL
Liverpool, NY 13090-1111
Phone (631) 671-1651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603002722 NY Part B Supplier - Clinic/Group Practice 3971012774 Receives reassigned benefits from 1 practitioner
Practice locations: Liverpool, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1386448082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 MOSS OAK TRL",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901111",
            "telephone_number": "631-671-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 MOSS OAK TRL",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901111",
            "telephone_number": "631-671-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING MOUNTAINS MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "423-507-7910",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.