Active NPI
Lydia Michelle Moore, LPC
- Counselor
- Anniston, AL
National Provider Identifier
1043613664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3325
- Practice address
- 721 E 10TH St
Anniston, AL 36207-4785 - Phone
- (256) 741-8265
- Fax
- (256) 741-8266
- NPI assigned
- Sep 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3325 | AL | Primary |
Addresses
Primary practice location
721 E 10TH St
Anniston, AL 36207-4785
Mailing address
721 E 10TH St
Anniston, AL 36207-4785
Phone (256) 741-8265
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411862400000",
"number": "1043613664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 E 10TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074785",
"telephone_number": "256-741-8265",
"fax_number": "256-741-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E 10TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074785",
"telephone_number": "256-741-8265",
"fax_number": "256-741-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LYDIA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-28",
"last_updated": "2014-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "3325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.