Individual provider Active NPI

Alisha Moquin, LICSW

  • Community/Behavioral Health Agency
  • Stoneham, MA
National Provider Identifier
1679048797
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
123322 Issued in MA
Practice address
440 Main St Ste 5
Stoneham, MA 02180-2649
Phone
(781) 850-2060
NPI assigned
Oct 4, 2018
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU
Community/Behavioral Health Agency 251S00000X 123322 MA Primary

Addresses

Primary practice location

440 Main St Ste 5
Stoneham, MA 02180-2649

Mailing address

440 Main St Ste 5
Stoneham, MA 02180-2649
Phone (781) 850-2060

Other practice location 1

1R Newbury St Ste 403
Peabody, MA 01960-3816
Phone (978) 535-1608 ext. 707

Other practice location 2

6 Kimball Ln Ste 310
Lynnfield, MA 01940-2680
Phone (781) 246-2010

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognizant Counseling, LLC Community/Behavioral Health CurrentSince Jan 31, 2021 Accepting new patients

Locations

440 Main St
Ste 5
Stoneham, MA 02180
Phone (781) 850-2060

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, 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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1679048797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MAIN ST STE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802649",
            "telephone_number": "781-850-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAIN ST STE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802649",
            "telephone_number": "781-850-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1R Newbury St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019603816",
            "country_code": "US",
            "telephone_number": "978-535-1608 x707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Kimball Ln Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lynnfield",
            "state": "MA",
            "postal_code": "019402680",
            "country_code": "US",
            "telephone_number": "781-246-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOQUIN",
        "first_name": "ALISHA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "123322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.