Individual provider Active NPI

Alice Rose Moore, MSW, PHD

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1063716231
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
515 28 3/4 Rd
Grand Junction, CO 81501
Phone
(970) 241-6023
Fax
(970) 242-8303
NPI assigned
Jan 3, 2011
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Social Worker 104100000X 28154 CA

Addresses

Primary practice location

515 28 3/4 Rd
Grand Junction, CO 81501

Mailing address

715 Horizon Dr Ste 225
Grand Junction, CO 81506-8743

Other practice location 1

715 Horizon Dr Ste 225
Grand Junction, CO 81506-8743
Phone (970) 683-7107

Other practice location 2

715 Horizon Dr Ste 225
Grand Junction, CO 81506-8743
Phone (970) 683-7107

Other names 1

  • Alice Rose Velarde Former name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1063716231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR STE 225",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 28 3/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-241-6023",
            "fax_number": "970-242-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Horizon Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815068743",
            "country_code": "US",
            "telephone_number": "970-683-7107",
            "fax_number": "970-683-7167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Horizon Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815068743",
            "country_code": "US",
            "telephone_number": "970-683-7107",
            "fax_number": "970-683-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALICE",
        "middle_name": "ROSE",
        "credential": "MSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "28154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "VELARDE",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.