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

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: August 02, 2026.

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

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
RHONDA MARIE RUTAN LLMSW
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MS. KATHLEEN D. SMITH PSYCHOLOGIST LLP
Psychologist (Intellectual and Developmental Disabilities)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MADISYN DEHORN
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
ALEXZANDRIA MCCRUM
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
CHERYL SCHUT LBSW
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
CHRISTINE A WILSON RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MANDI SCHEBOR
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5471

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 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.

Where is Bonnie Harris-moore located?

Bonnie Harris-moore practices at 12265 James St, Holland, MI 49424. The listed phone number is (161) 639-3568.

What is Bonnie Harris-moore's specialty?

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

Is Bonnie Harris-moore enrolled in Medicare?

Yes. Bonnie Harris-moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bonnie Harris-moore was last updated on February 9, 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.