Individual provider Active NPI

Carly Catherine Moran, MHC-LP

  • Mental Health Counselor
  • Malta, NY
National Provider Identifier
1750097341
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P118604 Issued in NY
Practice address
2452 U.S. Route 9
Suite 206
Malta, NY 12020
Phone
(518) 292-5433
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 P118604 NY Primary

Addresses

Primary practice location

2452 U.S. Route 9
Suite 206
Malta, NY 12020

Mailing address

26 Vichy Dr
Saratoga Springs, NY 12866-9030
Phone (518) 290-4803

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
P118604NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center PastSince Jan 29, 2023 Accepting new patients

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1750097341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VICHY DR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669030",
            "telephone_number": "518-290-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 U.S. ROUTE 9",
            "address_2": "SUITE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-292-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "CARLY",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P118604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.