Kaitlyn Rae Moeller

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1632 E Perry St
Port Clinton, OH 43452-1332

Phone

(419) 960-5559

NPI assigned

Apr 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Unity Behavioral Health

  • Mental Health Counselor
  • Port Clinton, OH
  • NPI 1811736804

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1881440980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 PINELAWN DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143534",
            "telephone_number": "419-280-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E PERRY ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521332",
            "telephone_number": "419-960-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "KAITLYN",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alexander McLean, M.D.
• Melinda Koskela, LLC
• Marian Mello
• Mike Tell Char Inc
• Laura Ann Miller, LISWS
• Molly S Judge DPM
• Allen Morelock, PTA
• Brittany Morrison
• Tabitha Lee Mowel, LSW
• Laura Jo Muller, AGNP-C

• Case Manager/Care Coordinator in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.