YVETTE MOULTON LCPC
NPI 1417218975
Counselor - Mental Health in Baltimore, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Yvette Moulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Maryland enrollment
- 179 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BALTIMORE, MD 21216
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.
Which organization bills Medicare for Yvette Moulton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yvette Moulton reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The 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 Yvette Moulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yvette Moulton was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Yvette Moulton, LCPC · NPI 1417218975
Mental Health provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since May 31, 2012.
## Identity
- **NPI:** 1417218975 (Entity type: Individual)
- **Enumerated:** May 31, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LC6342 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3911 FAIRVIEW AVE, Baltimore, MD 21216-1229
- **Phone:** (443) 500-0258
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417218975) · Data from the CMS NPPES public registry.