Andre Anthony Moore, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R016091P Issued in NY

Practice address

160 Bleecker St
9 C East
New York, NY 10012-1541

Phone

(212) 673-4618

NPI assigned

May 23, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1124465679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BLEECKER STREET",
            "address_2": "9 C EAST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10012",
            "telephone_number": "212-673-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BLEECKER ST",
            "address_2": "9 C EAST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121541",
            "telephone_number": "212-673-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDRE",
        "middle_name": "ANTHONY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "R016091P",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE - OXFORD",
            "identifier": "P2128967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana Chere Moore-Pierre, MA, MPH
• Adelia Moore, PH.D.
• Alexandra Moore
• Alice Carole Moore, M H COUNSELOR
• Amanda Moore, LICSW, LCSW
• Annabelle Moore
• Anne Moore, MD
• Assaf Moore, M.D.
• Austin Moore
• Brandon Michael Moore

• Counselor in New York, NY
• Providers in New York, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.