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

Michelle Stacy Moreno

Individual provider Case Manager/Care Coordinator · NPI 1184193625

Michelle Stacy Moreno is a Mental Health Counselor in Pontiac, Michigan. Qualified in 2018, 8 years ago. Practices with Easterseals Morc Health Care, Inc, a 127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1115
Phone: (248) 706-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401222459 (MI)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1184193625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2018
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address3167 S Adams Rd, Rochester Hills, MI 48309-3902

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Easterseals Morc Health Care, Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pontiac