KAYLEIGH MOSS – Mental Health Counselor, NPI 1124662390

KAYLEIGH MOSS is a healthcare provider. based in Lynn, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 11525-MH-CC (MA). The NPI Number for KAYLEIGH MOSS is 1124662390

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KAYLEIGH MOSS
NPI
1124662390
Phone
(973) 525-2639
Address
20 CENTRAL AVE FL 6
Enumeration Date
31 October 2019
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9592167305
Graduation Year
2016 (10 years ago)
PAC ID
0143665380
Group Practice PAC ID
0042217507
Professional Enrollment ID
I20240228000792
Address ID
MA019011314LY269XXSTXX300

Contacts

Secure Messaging
kmoss@lchcnet.org
Secure Messaging
kohara@lchcnet.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for KAYLEIGH MOSS

  • 20 CENTRAL AVE FL 6

    LYNN, MA 019011201

    Phone: (973) 525-2639

    Type: Mailing

  • 269 UNION ST FL 3

    LYNN, MA 019011314

    Phone: (973) 525-2639

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240228000792IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042217507View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
-MA
Family PracticeMA
Family PracticeMA
Clinical Social WorkerMA
Nurse PractitionerMA
Physician AssistantMA
Family PracticePA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What identifier follows KAYLEIGH MOSS across health systems?
The NPI 1124662390 uniquely identifies KAYLEIGH MOSS in U.S. healthcare data.
Is KAYLEIGH MOSS's NPI status active today?
Active status means KAYLEIGH MOSS's NPI record is not deactivated in the public file.
What type of care does KAYLEIGH MOSS provide?
KAYLEIGH MOSS's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is KAYLEIGH MOSS tied to Lynn, Massachusetts?
If you are local to Lynn, Massachusetts, KAYLEIGH MOSS may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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