Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIN MOEN LICSW
NPI 1962739904
Social Worker - Clinical in Moorhead, MN

Q: What is Kristin Moen's NPI number?

The NPI number for Kristin Moen is 1962739904. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Q: What is Kristin Moen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Moen was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since November 12, 2009PECOS Enrolled

1547 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kristin Moen Licsw NPPES

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

KRISTIN MOEN LICSW (NPI 1962739904) is an individual clinical provider in Moorhead, Minnesota, licensed in Minnesota (22205) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Fargo, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1962739904

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTIN MOENCredential: LICSW

Location Address1547 30TH AVE SMoorhead, MN 56560-5149

Mailing Address1401 13th Ave EWest Fargo, ND 58078-3468 · (701) 364-0060 · Fax (701) 364-0065

Phone(218) 287-4338

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 12, 2009

Last NPPES UpdateJuly 21, 2026

NPPES CertifiedJuly 21, 2026

✔ NPI 1962739904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 22205

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1547 30TH AVE S, Moorhead, MN 56560

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Secondary Practice Location 1

Location 11401 13th Ave EWest Fargo, ND 58078-3468 · Phone (701) 364-0060 · Fax (701) 364-0065

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

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

Kristin Moen Licsw 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 ID6507005816

PECOS Enrollment IDI20130618000421

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

225 services11 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MCKENZIE JOHNSON

Behavior Analyst