Individual provider Active NPI

Kelsy Moules, MT-BC

  • Music Therapist
  • Watertown, CT
National Provider Identifier
1508652512
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
11609 Issued in CT
Practice address
51 Depot St Ste 214
Watertown, CT 06795-2685
Phone
(203) 770-9187
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 11609 CT Primary

Addresses

Primary practice location

51 Depot St Ste 214
Watertown, CT 06795-2685

Mailing address

51 Depot St Ste 214
Watertown, CT 06795-2685
Phone (203) 770-9187

Other practice location 1

110 Court St Ste 3
Cromwell, CT 06416-1273
Phone (860) 613-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11609CTMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Education Assessment Consultation Services PastSince Oct 15, 2023 Accepting new patients

Organizations & group practices 1

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": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1508652512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 DEPOT ST STE 214",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952685",
            "telephone_number": "203-770-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEPOT ST STE 214",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952685",
            "telephone_number": "203-770-9187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Court St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cromwell",
            "state": "CT",
            "postal_code": "064161273",
            "country_code": "US",
            "telephone_number": "860-613-9930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULES",
        "first_name": "KELSY",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "CT",
            "license": "11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.