Organization Active NPI

Moving Forward Individual and Family Therapy, PLLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1033897095
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOVING FORWARD INDIVIDUAL AND FAMILY THERAPY, PLLC
Practice address
809 Katie St
Fayetteville, NC 28306-2810
Phone
(910) 489-3725
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Ms. Antoinette Morris, LCMHCNPI 1770880312
Title
Licensed Clinical Mental Health Cou
Phone
(910) 489-3725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

809 Katie St
Fayetteville, NC 28306-2810

Mailing address

809 Katie St
Fayetteville, NC 28306-2810
Phone (910) 489-3725

National Provider Directory

National Provider Directory

Locations

809 Katie St
Fayetteville, NC 28306
Phone (910) 489-3725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1033897095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 KATIE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062810",
            "telephone_number": "910-489-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 KATIE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062810",
            "telephone_number": "910-489-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING FORWARD INDIVIDUAL AND FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "LICENSED CLINICAL MENTAL HEALTH COU",
        "authorized_official_telephone_number": "910-489-3725",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.