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KRISTIN MOULTON
NPI 1447823695
Counselor - Mental Health in Chicago, IL

Active since July 23, 2021PECOS Enrolled
3640 W FILLMORE ST, CHICAGO, IL 60624(773) 290-5891 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2024, Jul 23, 2021 (2 updates tracked since 2021).

About Kristin Moulton NPPES

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

KRISTIN MOULTON (NPI 1447823695) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (121626-13) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1447823695
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN MOULTON
Location Address3640 W FILLMORE STChicago, IL 60624-4309
Mailing Address6700 N Greenview AveChicago, IL 60626-4208
Phone(773) 290-5891
Sole ProprietorNo
Enumeration DateJuly 23, 2021
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1447823695 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 IL · 121626-13
3640 W FILLMORE ST, Chicago, IL 60624
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Secondary Practice Location 1

Location 16700 N Greenview AveChicago, IL 60626-4208 · Phone (773) 366-7704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Moulton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

UCAN
Residential Treatment Facility, Emotionally Disturbed Children
3640 W FILLMORE ST
CHICAGO, IL 60624
Cook County (773) 588-0180
JORDAN SAYERS
Counselor (Mental Health)
3640 W FILLMORE ST
CHICAGO, IL 60624
Cook County (773) 588-3457
MELISSA APARICIO
Counselor (Mental Health)
3640 W FILLMORE ST
CHICAGO, IL 60624
Cook County (773) 588-0180

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 Kristin Moulton's NPI number?

The NPI number for Kristin Moulton is 1447823695. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Kristin Moulton located?

Kristin Moulton practices at 3640 W Fillmore St, Chicago, IL 60624. The listed phone number is (773) 290-5891.

What is Kristin Moulton's specialty?

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

Is Kristin Moulton enrolled in Medicare?

Yes. Kristin Moulton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Moulton was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.