| Kaytlin Dae-joyce Moore, LPC | |
|
501 N Maple Rd, Ann Arbor, MI 48103-2827 | |
| (800) 395-3223 | |
| Not Available |
| Full Name | Kaytlin Dae-joyce Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 501 N Maple Rd, Ann Arbor, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487132221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 178013620 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 6401224867 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hegira Health Inc | 3173429560 | 41 |
| Entity Name | Hegira Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184684979 PECOS PAC ID: 3173429560 Enrollment ID: O20031208000753 |
| Entity Name | Ismail B Sendi MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaytlin Dae-joyce Moore, LPC 26545 American Dr, Southfield, MI 48034-6115 Ph: (800) 395-3223 | Kaytlin Dae-joyce Moore, LPC 501 N Maple Rd, Ann Arbor, MI 48103-2827 Ph: (800) 395-3223 |
Ms. Robin Dawn Edison, MED, LPC, NCC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5656 Le Blanc Ave, Ann Arbor, MI 48103 Phone: 248-520-0880 |
Jacquelyn Vanzile, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2215 Fuller Rd, Ann Arbor, MI 48105 Phone: 734-769-7100 |
Maia Warren, Counselor Medicare: May Accept Medicare Assignments Practice Location: 3840 Packard St Ste 270, Ann Arbor, MI 48108 Phone: 734-995-6755 |
Mrs. Christine Ponce Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St, Suite 220, Ann Arbor, MI 48108 Phone: 734-477-9999 Fax: 734-477-0955 |
Catherine Alice Fritz, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2035 Hogback Rd Ste 101, Ann Arbor, MI 48105 Phone: 734-489-1010 |
Erin E Bultema, Counselor Medicare: Medicare Enrolled Practice Location: 727 Miller Ave, Ann Arbor, MI 48103 Phone: 734-209-3727 |
Dr. Robert Michael Ortega, MSW, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 S. Forest, Ann Arbor, MI 48104 Phone: 734-763-6576 Fax: 734-763-3372 |