K & M WELLNESS, INC
NPI 1013696012
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rome, NY
About K & M Wellness, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
K & M WELLNESS, INC (NPI 1013696012) is a healthcare organization registered as a mental health (including community mental health center) in Rome, New York and active in the NPI registry since July 2023. The organization lists Latrease R Moore, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
K & M Wellness, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to K & M Wellness, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is K & M Wellness, Inc's NPI number?
The NPI number for K & M Wellness, Inc is 1013696012. It was assigned to this organization in the NPPES registry on July 17, 2023.
Where is K & M Wellness, Inc located?
K & M Wellness, Inc is located at #186 Mohawk Acres Plaza 1756 Black River Blvd, Rome, NY 13440. The listed phone number is (315) 220-0603.
What is K & M Wellness, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is K & M Wellness, Inc enrolled in Medicare?
Yes. K & M Wellness, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through K & M Wellness, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to K & M Wellness, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for K & M Wellness, Inc was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# K & M Wellness, Inc · NPI 1013696012
Mental Health (Including Community Mental Health Center) organization in Rome, New York. Organization record, active in the CMS NPPES registry since July 17, 2023.
## Identity
- **NPI:** 1013696012 (Entity type: Organization)
- **Enumerated:** July 17, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Latrease Moore, CO-OWNER
## Practice location
- **Address:** #186 MOHAWK ACRES PLAZA, 1756 BLACK RIVER BLVD, Rome, NY 13440
- **Phone:** (315) 220-0603
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013696012) · Data from the CMS NPPES public registry.