Kevin Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

107 Hill St
Apt. 9
Stoneham, MA 02180-3720

Phone

(617) 935-1510

NPI assigned

Apr 5, 2013

Sex

Male

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

Enrolled in MA

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Integrative Counseling and Wellness LLCGroup PAC ID 4183022288, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Center for Integrative Counseling and Wellness LLC

  • Psychologist
  • Hingham, MA
  • NPI 1881118107

  Mental Health

  Medicare reassignment Care Compare group NPD
• Handel Behavioral Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, MA
  • NPI 1497353130
  Medicare reassignment NPD (past)
• Vita G Counseling LLC

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1003626896
  NPD

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1982947164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HILL ST",
            "address_2": "APT. 9",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803720",
            "telephone_number": "617-935-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HILL ST",
            "address_2": "APT. 9",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803720",
            "telephone_number": "617-935-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Soul Wellness PLLC
• Emily Minker, NP
• Janine Modugno
• Montvale Imaging Physicians PC
• Marina Mooradian, DMD
• Alisha Moquin, LICSW
• Rita Morelli, PHARM D
• Tatum Morey
• Lyle Edward Morgan, PTA
• Michelle Morrison

• Mental Health Counselor in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.