Individual provider Active NPI

Janice Marquette McMoore, CSAC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1053648550
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006071 Issued in VA
Practice address
401 Beecham Dr
Richmond, VA 23227-1302
Phone
(804) 918-0069
Fax
(804) 918-1755
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710101439 VA
Professional Counselor 101YP2500X 0701006071 VA Primary

Addresses

Primary practice location

401 Beecham Dr
Richmond, VA 23227-1302

Mailing address

401 Beecham Dr
Richmond, VA 23227-1302
Phone (804) 918-0069

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
0710101439VAMDAddiction (Substance Use Disorder) Counselor
0701006071VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1053648550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BEECHAM DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271302",
            "telephone_number": "804-918-0069",
            "fax_number": "804-918-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BEECHAM DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271302",
            "telephone_number": "804-918-0069",
            "fax_number": "804-918-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMOORE",
        "first_name": "JANICE",
        "middle_name": "MARQUETTE",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710101439",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.