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YVETTE MOULTON LCPC
NPI 1417218975
Counselor - Mental Health in Baltimore, MD

Active since May 31, 2012PECOS EnrolledAccepts Medicare Assignment
3911 FAIRVIEW AVE, BALTIMORE, MD 21216(443) 500-0258 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Dec 21, 2021 (2 updates tracked since 2021).

About Yvette Moulton Lcpc NPPES

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

YVETTE MOULTON LCPC (NPI 1417218975) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (LC6342) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417218975
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameYVETTE MOULTONCredential: LCPC
Location Address3911 FAIRVIEW AVEBaltimore, MD 21216-1229
Mailing Address3911 Fairview AveBaltimore, MD 21216-1229 · (443) 500-0258
Phone(443) 500-0258
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 31, 2012
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1417218975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC6342
3911 FAIRVIEW AVE, Baltimore, MD 21216
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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 and accepts Medicare assignment

Yvette Moulton Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476044074
PECOS Enrollment IDI20251112000023
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.

Other Providers at the Same Location NPPES 3

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

EDEN PLACE HEALING, LLC
Counselor (Mental Health)
3911 FAIRVIEW AVE
BALTIMORE, MD 21216
Baltimore City (443) 674-6343
YVETTE EADDY, LCPC, LCADC
Counselor (Professional)
3911 FAIRVIEW AVE
BALTIMORE, MD 21216
Baltimore City (443) 937-3628
EMMANUEL COMMUNITY COUNSELING SERVICES LLC
Counselor (Mental Health)
3911 FAIRVIEW AVE
BALTIMORE, MD 21216
Baltimore City (410) 650-8334

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 Yvette Moulton's NPI number?

The NPI number for Yvette Moulton is 1417218975. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Yvette Moulton located?

Yvette Moulton practices at 3911 Fairview Ave, Baltimore, MD 21216. The listed phone number is (443) 500-0258.

What is Yvette Moulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Yvette Moulton enrolled in Medicare?

Yes. Yvette Moulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yvette Moulton was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.