Individual provider Active NPI

Megan Lynn Moran, MA, MHC-LP, T-LMHC

  • Counselor
  • Brooklyn, NY
National Provider Identifier
1659974905
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
P107759 Issued in NY
Practice address
243 Livingston St Apt 5C1
Brooklyn, NY 11201-5838
Phone
(310) 595-4525
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X P107759 NY Primary

Addresses

Primary practice location

243 Livingston St Apt 5C1
Brooklyn, NY 11201-5838

Mailing address

243 Livingston St Apt 5C1
Brooklyn, NY 11201-5838
Phone (310) 595-4525

Other identifiers 1

IdentifierTypeStateIssuer
P107759OtherNYNEW YORK STATE MENTAL HEALTH COUNSELOR LIMITED PERMIT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL healingwithgem@gmail.com Health Information Exchange (HIE)

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P107759NYMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1659974905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 LIVINGSTON ST APT 5C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015838",
            "telephone_number": "310-595-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 LIVINGSTON ST APT 5C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015838",
            "telephone_number": "310-595-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "credential": "MA, MHC-LP, T-LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "P107759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE MENTAL HEALTH COUNSELOR LIMITED PERMIT",
            "identifier": "P107759",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "healingwithgem@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "243 Livingston St Apt 5C1",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112015838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.