Active NPI
Amy Lynn Moore, LPC
- Professional Counselor
- Oxford, MI
National Provider Identifier
1114231602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401007804
- Practice address
- 1120 S Lapeer Rd
Oxford, MI 48371-6180 - Phone
- (248) 924-4722
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401007804 | MH | Primary |
| School Counselor | 101YS0200X |
Addresses
Primary practice location
1120 S Lapeer Rd
Oxford, MI 48371-6180
Mailing address
3182 Jonathan Rd
Oxford, MI 48371-1250
Phone (248) 924-4722
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401007804 | MH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1114231602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3182 JONATHAN RD",
"city": "OXFORD",
"state": "MI",
"postal_code": "483711250",
"telephone_number": "248-924-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S LAPEER RD",
"city": "OXFORD",
"state": "MI",
"postal_code": "483716180",
"telephone_number": "248-924-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MH",
"license": "6401007804",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.