KEVIN MOUL (NPI# 1649828617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649828617 |
| Entity Type | Individual |
| Full Name | KEVIN MOUL |
| Credential | BS, CRSW |
| Practice Address |
2 Wall St Ste 300 Manchester NH 03101-1518 |
| Practice Telephone | 6036684111 |
| Mailing Telephone | 6036684111 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 0144 | NH | Other Service Providers |
| Street Address |
2 WALL ST STE 300 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275599094 | Cynthia Wolz | Nurse Practitioner | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2006-04-21 |
| 1811544653 | Idolyn Carnahan | Counselor | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-08-26 |
| 1518424977 | Debra Gribbohm | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-02-21 |
| 1821554338 | Moresvy Duval | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-02-20 |
| 1770057291 | Jeffrey Peter Wedge | Counselor | 2 Wall St Ste 300, Manchester, NH 03101 | 2019-01-17 |
| 1649746736 | Yu-mei Chen | Nurse Practitioner | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-10-16 |
| 1154805208 | Emmaleen Lemay | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-09-24 |
| 1508345919 | Traci Debatis | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-08-08 |
| 1174002489 | Michelle Smith | Counselor | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-08-08 |
| 1508345844 | Sarah Picard | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835802 | Polly Jean Hatfield | Peer Specialist | 56 Marie Langdon Dr, Manchester, KY 40962-6329 | 2020-09-10 |
| 1700349024 | Janelle Brophy | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2019-04-12 |
| 1154892057 | Nicholas Bickford | Peer Specialist | 1555 Elm St, Manchester, NH 03101-1203 | 2018-12-17 |
| 1609356377 | Annie Day | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2018-08-21 |
| 1770063489 | Heather Williams | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2018-08-21 |
| 1659851327 | Nathaniel Bolter | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2018-08-21 |
| 1881170652 | Ebony Sullivan | Peer Specialist | 1555 Elm St, Manchester, NH 03101-1203 | 2018-07-16 |
| 1124536941 | Michael Brown | Peer Specialist | 1555 Elm St, Manchester, NH 03101-1203 | 2018-01-15 |
| 1316451404 | Natalie Agnew | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2017-11-28 |
| 1043748973 | Denny Freitas | Peer Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2017-05-23 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.