Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Paul Moulder, MDIV, MA

Individual provider Counselor · NPI 1114403243

John Paul Moulder, MDIV, MA is a Clinical Social Worker in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Heritage Professional Associates Ltd, an 18-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

126 E Chestnut St
Chicago, IL 60611-2014
Phone: (312) 787-8425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1114403243
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV , MA
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 11, 2018
Mailing address126 E Chestnut St, Chicago, IL 60611-2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Heritage Professional Associates Ltd — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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