BONNIE HARRIS-MOORE
NPI 1306591433
Social Worker - Clinical in Holland, MI

Q: What is Bonnie Harris-moore's NPI number?

The NPI number for Bonnie Harris-moore is 1306591433. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Q: What is Bonnie Harris-moore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 17, 2022PECOS Enrolled

12265 JAMES ST, HOLLAND, MI 49424(161) 639-3568 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2023, Feb 17, 2022 (2 updates tracked since 2022).

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About Bonnie Harris-moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE HARRIS-MOORE (NPI 1306591433) is an individual clinical provider in Holland, Michigan and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306591433

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameBONNIE HARRIS-MOORE

Location Address12265 JAMES STHolland, MI 49424-8613

Mailing Address12265 James StHolland, MI 49424-8613 · (616) 393-5685

Phone(161) 639-3568

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 17, 2022

Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2023

✔ NPI 1306591433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

12265 JAMES ST, Holland, MI 49424

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Harris-moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759873540

PECOS Enrollment IDI20251119003496

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bonnie Harris-moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michigan Wellness Services LLC

23 mi

Counselor

1401 60TH ST SE STE B
Kentwood, MI 49508

Reassigned Medicare billing, Michigan enrollment
4 clinicians in this Medicare group

NPI 1043051667 (616) 238-6690

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERYL ANN MASCORRO RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)