Individual provider Active NPI

Kathleen Faye Moreland, LPC

  • Counselor
  • Indiana, PA
National Provider Identifier
1578070553
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC003122 Issued in PA
Practice address
665 Philadelphia St
Indiana, PA 15701-3941
Phone
(412) 600-0863
Fax
(724) 801-8751
NPI assigned
Dec 29, 2017
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC003122 PA Primary

Addresses

Primary practice location

665 Philadelphia St
Indiana, PA 15701-3941

Mailing address

665 Philadelphia St
Indiana, PA 15701-3941
Phone (412) 600-0863

Other identifiers 1

IdentifierTypeStateIssuer
PC003122OtherPALICENSE

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
PC003122PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Umas Behavioral Health Services PastSince Mar 26, 2018 Accepting new patients

Organizations & group practices 2

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1578070553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013941",
            "telephone_number": "412-600-0863",
            "fax_number": "724-801-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013941",
            "telephone_number": "412-600-0863",
            "fax_number": "724-801-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "KATHLEEN",
        "middle_name": "FAYE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC003122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PC003122",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.