Bernadette Ann Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

013476 Issued in GA

Practice address

611 N Wayne St
Milledgeville, GA 31061-2834

Phone

(478) 254-0481

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• A Better You Integrated Health & Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milledgeville, GA
  • NPI 1609370212
  NPD

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1104523323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "HARDWICK",
            "state": "GA",
            "postal_code": "310340178",
            "telephone_number": "478-363-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N WAYNE ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612834",
            "telephone_number": "478-254-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BERNADETTE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "013476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyaw Minn, M.D.
• Sallyann Mary Mitchell-Strange, NP
• Brooks Anne Mitchell, PA-C
• David W. Mitchell, CRNA
• Caitlin Briana Moeller, MSC, LAT, ATC
• William R Moore, PHARM D
• Keith Marquette Morgan, P.T.
• Brandon Trace Morris
• Mary Elizabeth Morris, MAT, ATC/LAT, CES
• Linda Morrison, LCSW

• Professional Counselor in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.