Individual provider Active NPI

Kristi Phillips-Moore

  • Professional Counselor
  • Exton, PA
National Provider Identifier
1407935034
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003900 Issued in PA
Practice address
835 Springdale Dr
Suite 100
Exton, PA 19341-2841
Phone
(610) 363-1488
Fax
(610) 363-8273
NPI assigned
Nov 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC003900 PA Primary

Addresses

Primary practice location

835 Springdale Dr
Suite 100
Exton, PA 19341-2841

Mailing address

512 Ash Rd
Coatesville, PA 19320-1108
Phone (610) 636-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240228001730 PA Practitioner - Mental Health Counselor 3779935978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holcomb Associates IncGroup PAC ID 8729992458, 18 clinicians

Practice addresses (Care Compare)

467 Creamery Way
Exton, PA 19341-2508
Phone (610) 363-1488

920 E Baltimore Pike
Kennett Square, PA 19348-1800
Phone (610) 388-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Associates, Inc. Current Accepting new patients
Holcomb Associates, Inc. CurrentSince Jan 28, 2024 Accepting new patients
Holcomb Associates, Inc CurrentSince Jan 28, 2024 Accepting new patients
Optum Behavioral Care of Delaware, Inc Past Accepting new patients

Locations

929 Northampton St
Easton, PA 18042
Phone (610) 330-9862

467 Creamery Way
Exton, PA 19341
Phone (610) 594-0278

835 Springdale Dr
Ste 100
Exton, PA 19341
Phone (610) 918-2100

920 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-7400

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407935034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ASH RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201108",
            "telephone_number": "610-636-1488",
            "fax_number": "610-363-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SPRINGDALE DR",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412841",
            "telephone_number": "610-363-1488",
            "fax_number": "610-363-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-MOORE",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.