Marcus Isiah Moorhead, MS, CRC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PRC200001188 Issued in DC

Practice address

2000 P St NW Ste 200
Washington, DC 20036-6924

Phone

(410) 961-7192

NPI assigned

Nov 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lindsy Wagner LLC

  dba Island Therapy Solutions

  • Clinical Social Worker
  • Christiansted, VI
  • NPI 1235402611
  Medicare reassignment NPD

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1063058451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008210830",
            "telephone_number": "340-626-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 P ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366924",
            "telephone_number": "410-961-7192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 Anchor Way Ste 9&10",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "008204692",
            "country_code": "US",
            "telephone_number": "340-719-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "MARCUS",
        "middle_name": "ISIAH",
        "credential": "MS, CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC00568",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC200001188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037707744",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daja Moorer
• Demarkco Moorer
• Natacha I Moorer, CRNP
• Lisa Kay Moores, MD
• Blair Moorhead, LICSW
• Kerry Shumanski Moose, NP
• Dominique Mooskin, LICSW
• Nicole Mooskin
• Syeda B. Moosvi, MD
• Arlette Mopi

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.