Individual provider Active NPI

Krista Ann Moulton, LICSW

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1982755633
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1982C Issued in AL
Practice address
207 Eustis Ave SE Ste B
Huntsville, AL 35801-4275
Phone
(256) 541-3877
Fax
(256) 541-3877
NPI assigned
Jan 16, 2007
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1982C AL Primary

Addresses

Primary practice location

207 Eustis Ave SE Ste B
Huntsville, AL 35801-4275

Mailing address

234 Grove Village Way
Madison, AL 35758-4503
Phone (256) 541-3877

Other identifiers 1

IdentifierTypeStateIssuer
51537000OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000485 AL Practitioner - Clinical Social Worker 2365444031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1982CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. Clinical CurrentSince Aug 25, 2025 Accepting new patients
Krista Moulton Counseling Services LLC Clinical Current Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Aug 25, 2025 Accepting new patients
North Alabama Counseling Center Inc PastSince Jan 1, 2024 Accepting new patients

Locations

4100 Market St
Ste 100
Huntsville, AL 35808
Phone (256) 274-0382

4800 Whitesport Cir SW
Ste 2
Huntsville, AL 35801
Phone (256) 533-9393

44 Hughes Rd
Ste 1050
Madison, AL 35758
Phone (256) 325-5400

1110 Montlimar Dr
Ste 500
Mobile, AL 36609
Phone (251) 662-9466

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1982755633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GROVE VILLAGE WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584503",
            "telephone_number": "256-541-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 EUSTIS AVE SE STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014275",
            "telephone_number": "256-541-3877",
            "fax_number": "256-541-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1982C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51537000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.