Kayla J Moffitt, LMHC-D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Village PLZ Ste 204
Kings Park, NY 11754-2737

Phone

(516) 250-3238

NPI assigned

Mar 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1770232415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE PLZ STE 204",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542737",
            "telephone_number": "516-250-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE PLZ STE 204",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542737",
            "telephone_number": "516-250-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Broadhollow Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117354871",
            "country_code": "US",
            "telephone_number": "516-250-3238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "KAYLA",
        "middle_name": "J",
        "credential": "LMHC-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "012471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Sredniawski, DC, PC (Kings Park Chiropractic)
• Elissa Miller
• Christina Minervini-Bertin
• Andre Misso, LAC
• ML Wellness Medical PLLC
• James R Mongiello, DDS
• Corinne Montana-Stack, OT
• Dina Montemurro, NP
• Carol Ann Montoya
• Loretta Moraco

• Mental Health Counselor in Kings Park, NY
• Providers in Kings Park, 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 Sep 24, 2024; 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.