Active NPI
Eos Psychotherapy, LLC
- Mental Health Counselor
- Clinton, MI
National Provider Identifier
1740140458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EOS PSYCHOTHERAPY, LLC
- Practice address
- 413 Marion CT
Clinton, MI 49236-9749 - Phone
- (812) 598-6911
- NPI assigned
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin Elizabeth Moore, LPC
- Title
- Owner
- Phone
- (812) 598-6911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
413 Marion CT
Clinton, MI 49236-9749
Mailing address
413 Marion CT
Clinton, MI 49236-9749
Phone (812) 598-6911
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
- NPI 1790353506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1740140458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 MARION CT",
"city": "CLINTON",
"state": "MI",
"postal_code": "492369749",
"telephone_number": "812-598-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 MARION CT",
"city": "CLINTON",
"state": "MI",
"postal_code": "492369749",
"telephone_number": "812-598-6911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EOS PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "KAITLIN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-598-6911",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.