MEDICARE: KRISTEN E MOYER MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YS0200X	School Counselor	12889245	IN

General Provider Information

NPI Number	:	1457129280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN E MOYER MS

Provider Business Mailing Address
First Line	:	13955 WAKEFIELD PL
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-4516
Country	:	US
Telephone Number	:	317-863-9002
Fax Number	:

Provider Business Practice Location Address
First Line	:	9961 CROSSPOINT BLVD # 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-3391
Country	:	US
Telephone Number	:	317-585-1016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	12/12/2023

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Directions to “ KRISTEN E MOYER MS” Practice Location

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