Active NPI
Katherine Moors, LCPC
- Mental Health Counselor
- Ellsworth, ME
National Provider Identifier
1851339907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R031929
- Practice address
- 32 Resort Way
Ellsworth Internal Medicine
Ellsworth, ME 04605-1717 - Phone
- (207) 664-5480
- Fax
- (207) 664-5490
- NPI assigned
- Jun 2, 2006
- 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 | R031929 | ME | Primary |
Addresses
Primary practice location
32 Resort Way
Ellsworth Internal Medicine
Ellsworth, ME 04605-1717
Mailing address
50 Union St
Maine Coast Memorial Hospital
Ellsworth, ME 04605-1586
Phone (204) 664-5480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404250000 | Other | ME | BCHP |
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 |
|---|---|---|---|
| R031929 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1851339907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNION ST",
"address_2": "MAINE COAST MEMORIAL HOSPITAL",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051586",
"telephone_number": "204-664-5480",
"fax_number": "207-664-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 RESORT WAY",
"address_2": "ELLSWORTH INTERNAL MEDICINE",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051717",
"telephone_number": "207-664-5480",
"fax_number": "207-664-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORS",
"first_name": "KATHERINE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "R031929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCHP",
"identifier": "404250000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.