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

Kathleen Moran

Individual provider Mental Health Counselor · NPI 1477297117

Kathleen Moran is a Mental Health Counselor in Latham, New York. Qualified in 2022, 4 years ago. Practices with Community Care Physicians PLLC, a 364-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

6 Wellness Way Ste 112
Latham, NY 12110-2142
Phone: (518) 881-1109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1477297117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address6 Wellness Way Ste 201, Latham, NY 12110-2156

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Community Care Physicians Pllc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Latham