Emma Moynihan
Counselor in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1104701119
StatusActive
Last updated in NPPESAug 8, 2025
Details
- NPI
- 1104701119
- Entity type
- Individual (NPI-1)
- Name
- Emma Moynihan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2025
- Certification date
- Aug 8, 2025
- Last updated
- Aug 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6451024466 | MI | Yes |
Practice location
4867 E Beltline Ave NeBuilding 1, Ste 400
Grand Rapids, MI 49525
Phone 616-202-2253
Mailing address
6905 Forest Valley Drive SeGrand Rapids, MI 49546
Phone 708-334-9582
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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