RAVEN MOE
NPI 1871071928
Counselor - Mental Health in Brooklyn, NY

Active since July 31, 2018PECOS Enrolled
102 PILLING ST, BROOKLYN, NY 11207(718) 602-1000 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raven Moe NPPES

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

RAVEN MOE (NPI 1871071928) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871071928
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRAVEN MOE
Location Address102 PILLING STBrooklyn, NY 11207-1610
Mailing Address177 Sands St Apt 2cBrooklyn, NY 11201-1522 · (347) 421-1677
Sole ProprietorNo
Enumeration DateJuly 31, 2018
✔ NPI 1871071928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
102 PILLING ST, Brooklyn, NY 11207

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Moe 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.

Medicare Billing Reassignment

Medicare enrollment records show Raven Moe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
17620 148TH AVE
Jamaica, NY 11434
  • Reassigned Medicare billing, New York enrollment
  • 249 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)
102 PILLING ST
BROOKLYN, NY 11207
Counselor (Mental Health)
102 PILLING ST
BROOKLYN, NY 11207
Social Worker
102 PILLING ST
BROOKLYN, NY 11207
Social Worker
102 PILLING ST
BROOKLYN, NY 11207
Counselor (Mental Health)
102 PILLING ST
BROOKLYN, NY 11207
Social Worker
102 PILLING ST
BROOKLYN, NY 11207
Social Worker
102 PILLING ST
BROOKLYN, NY 11207
Counselor (Mental Health)
102 PILLING ST
BROOKLYN, NY 11207

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 Raven Moe's NPI number?

The NPI number for Raven Moe is 1871071928. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Raven Moe located?

Raven Moe practices at 102 Pilling St, Brooklyn, NY 11207. The listed phone number is (718) 602-1000.

What is Raven Moe's specialty?

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

Is Raven Moe enrolled in Medicare?

Yes. Raven Moe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raven Moe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raven Moe reassigns Medicare benefits to New York Psychotherapy And Counseling Center (Jamaica, 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 Raven Moe'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 Raven Moe was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.