Kelsey Ann Mooney, LMHC, CASAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007463 Issued in NY

Practice address

7254 State Route 5
Clinton, NY 13323-3432

Phone

(315) 404-4036

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kelsey Ann Freeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Countryside Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, NY
  • NPI 1497446413
  NPD Authorized official
• Samaritan Counseling Center of the Mohawk Valley, Inc

  • Social Worker
  • Utica, NY
  • NPI 1588903454
  NPD (past)
• Samaritan Counseling Center of the Mohawk Valley, Inc

  • Mental Health Counselor
  • Utica, NY
  • NPI 1649377854
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1760035646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 STATE ROUTE 5",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233432",
            "telephone_number": "315-404-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 STATE ROUTE 5",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233432",
            "telephone_number": "315-404-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "31319",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "FREEMAN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMHC, CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaqueline G Michel
• Ryan Miglin, PHARM.D.
• Karley Miller, COTA/L
• Jacquelyn Peters Mitchell, RPH
• Kelly L Monaco, OTR
• Shauna Morat, PHARM D
• Danielle Kristin Morgan, PT, DPT
• Monica Morse, LPN
• Heather Mott, PT
• Scarlett Katie Moynihan

• Mental Health Counselor in Clinton, NY
• Providers in Clinton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.