Active NPI
Jodi Moynagh, LMHC
- Mental Health Counselor
- Spencer, MA
National Provider Identifier
1831564525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9103
- Practice address
- 185 Main St
Spencer, MA 01562-1755 - Phone
- (508) 731-9006
- Fax
- (877) 252-9826
- NPI assigned
- Dec 6, 2015
- Last updated
- Dec 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9103 | MA | Primary |
Addresses
Primary practice location
185 Main St
Spencer, MA 01562-1755
Mailing address
108 Brookline St
Worcester, MA 01603-1553
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9103 | MA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Tree Counselling LLC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Spencer, MA
- NPI 1689965543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449360000000",
"number": "1831564525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BROOKLINE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 MAIN ST",
"city": "SPENCER",
"state": "MA",
"postal_code": "015621755",
"telephone_number": "508-731-9006",
"fax_number": "877-252-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYNAGH",
"first_name": "JODI",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-06",
"last_updated": "2015-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.