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

Mr. Kevin Moore

Individual provider Mental Health Counselor · NPI 1982947164

Mr. Kevin Moore is a Mental Health Counselor in Stoneham, Massachusetts. Qualified in 2008, 18 years ago. Practices with Center for Integrative Counseling and Wellness LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
18
In the registry since
2013
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Practice location Address checks out

107 Hill St Apt 9
Stoneham, MA 02180-3720
Phone: (617) 935-1510
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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 number1982947164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2013
Last updated in NPPESApril 5, 2013
Mailing address107 Hill St, Apt. 9, Stoneham, MA 02180-3720

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Center For Integrative Counseling And Wellness Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stoneham