Individual provider Active NPI

Cheryl Joy Moore, LMHC

  • Mental Health Counselor
  • Johnston, IA
National Provider Identifier
1114738648
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
117927 Issued in IA
Practice address
5415 NW 88TH St
Johnston, IA 50131-2950
Phone
(515) 727-1338
Fax
(515) 727-1340
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 117927 IA Primary

Addresses

Primary practice location

5415 NW 88TH St
Johnston, IA 50131-2950

Mailing address

9397 Verdi LN
West Des Moines, IA 50266-8470
Phone (641) 218-4041

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

LicenseStateTypeSpecialty
117927IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashby Psychological Services, Inc CurrentSince Jan 19, 2025 Accepting new patients
Moore Life Counseling Current Accepting new patients

Locations

5415 NW 88th St
Johnston, IA 50131
Phone (515) 727-1338

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1114738648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 VERDI LN",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668470",
            "telephone_number": "641-218-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 NW 88TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312950",
            "telephone_number": "515-727-1338",
            "fax_number": "515-727-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHERYL",
        "middle_name": "JOY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "117927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.