Individual provider Active NPI

Amanda Moreton, MS, LMHC

  • Mental Health Counselor
  • Riverside, RI
National Provider Identifier
1538814090
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01330 Issued in RI
Practice address
1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217
Phone
(401) 352-8440
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01330 RI Primary

Addresses

Primary practice location

1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217

Mailing address

1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217
Phone (856) 912-9477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20250116001245 RI Practitioner - Mental Health Counselor 8426586538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brainwise LLCGroup PAC ID 0840777694, 4 clinicians

Practice addresses (Care Compare)

1275 Wampanoag TRL
Suite 9
Riverside, RI 02915-1217
Phone (401) 352-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MHC01330RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Nov 14, 2024 Accepting new patients
Brainwise LLC Mental Health CurrentSince Mar 23, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Nov 14, 2024 Accepting new patients

Locations

400 Massasoit Ave
Ste 305
East Providence, RI 02914
Phone (401) 268-5218

1130 Ten Rod Rd
Bldg E
North Kingstown, RI 02852

1130 Ten Rod Rd
North Kingstown, RI 02852
Phone (401) 268-3886

1130 Ten Rod Rd
Ste E302
North Kingstown, RI 02852
Phone (401) 667-7079

1275 Wampanoag Trl
Ste 9
Riverside, RI 02915
Phone (401) 352-8440

Organizations & group practices 3

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1538814090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 9",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "856-912-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 9",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-352-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETON",
        "first_name": "AMANDA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.