Alyssa Moore Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ALYSSA MOORE COUNSELING LLC

Practice address

3735 SE Clay St
Portland, OR 97214-5139

Phone

(503) 662-2023

Fax

(503) 713-5486

NPI assigned

Feb 11, 2022

Last updated

Feb 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa A. Moore, LPCNPI 1578810818

Title

Owner

Phone

(503) 662-2023

Specialties & licenses 1

Addresses

Other names 1

• Springboard Counseling PDX Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyssa Anne Moore, QMHP

  • Mental Health Counselor
  • Portland, OR
  • NPI 1578810818
  NPD Authorized official

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1114671781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 SE CLAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145139",
            "telephone_number": "503-662-2023",
            "fax_number": "503-713-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 SE CLAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145139",
            "telephone_number": "503-662-2023",
            "fax_number": "503-713-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA MOORE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-662-2023",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springboard Counseling PDX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.