KATHLEEN MORAN
NPI 1477297117
Counselor - Mental Health in Latham, NY

Active since April 27, 2022PECOS EnrolledAccepts Medicare Assignment
6 WELLNESS WAY STE 112, LATHAM, NY 12110(518) 881-1109 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2025, Apr 27, 2022 (2 updates tracked since 2022).

About Kathleen Moran NPPES

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

KATHLEEN MORAN (NPI 1477297117) is an individual mental health provider in Latham, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477297117
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN MORAN
Location Address6 WELLNESS WAY STE 112Latham, NY 12110-2142
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 27, 2022
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1477297117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6 WELLNESS WAY STE 112, Latham, NY 12110

Other Names 1

Other Name (5)Katie Moran

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

Kathleen Moran 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 ID9436673811
PECOS Enrollment IDI20250407002831
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 Kathleen Moran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 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 20

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

Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Social Worker
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110

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 Kathleen Moran's NPI number?

The NPI number for Kathleen Moran is 1477297117. It was assigned to this individual provider in the NPPES registry on April 27, 2022. The provider is also known as Katie Moran.

Where is Kathleen Moran located?

Kathleen Moran practices at 6 Wellness Way Ste 112, Latham, NY 12110. The listed phone number is (518) 881-1109.

What is Kathleen Moran's specialty?

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

Is Kathleen Moran enrolled in Medicare?

Yes. Kathleen Moran 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 Kathleen Moran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Moran reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). 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 Kathleen Moran'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 Kathleen Moran was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.