Betsy Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60758663 Issued in WA

Practice address

6424 N 9TH St
Tacoma, WA 98406-2091

Phone

(253) 565-4484

Fax

(253) 565-5823

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Betsy Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hopesparks

  • Mental Health Counselor
  • Tacoma, WA
  • NPI 1871660811
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1144611393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 N 9TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062091",
            "telephone_number": "253-565-4484",
            "fax_number": "253-565-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 N 9TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062091",
            "telephone_number": "253-565-4484",
            "fax_number": "253-565-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BETSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60493269",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60758663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Moore
• Andrea Moore, ARNP
• Angela Marie Moore, CARE COORDINATOR 1
• Armond Moore
• Ashley Ann Moore
• Daniel J Moore, MD
• David R Moore, PH.D.
• Douglas Bernard Moore, PA-C
• George Stanley Moore, RPH
• Jane Ann Moore, MD

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.