Individual provider Active NPI

Angela Kaye Moralee, LPC-MHSP, TEMP, NCC

  • Professional Counselor
  • Cookeville, TN
National Provider Identifier
1003329509
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12863 Issued in NC
Practice address
606 E Spring St
Cookeville, TN 38501-5066
Phone
(910) 797-0634
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A12863 NC Primary

Addresses

Primary practice location

606 E Spring St
Cookeville, TN 38501-5066

Mailing address

1440 Clemmons Rd
Cookeville, TN 38501-9451
Phone (910) 797-0634

Other practice location 1

2543 Ravenhill Dr Ste B
Fayetteville, NC 28303-5459
Phone (910) 339-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A12863NCMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1003329509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CLEMMONS RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385019451",
            "telephone_number": "910-797-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015066",
            "telephone_number": "910-797-0634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2543 Ravenhill Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035459",
            "country_code": "US",
            "telephone_number": "910-339-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALEE",
        "first_name": "ANGELA",
        "middle_name": "KAYE",
        "credential": "LPC-MHSP, TEMP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.