Active NPI
Jeffrey Moore, PHD, S-LPC, NCC
- Professional Counselor
- Bessemer, AL
National Provider Identifier
1154675668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2423
- Practice address
- 1600 4TH Ave N
Bessemer, AL 35020-5711 - Phone
- (205) 703-2020
- Fax
- (205) 957-6601
- NPI assigned
- Nov 6, 2012
- Sex
- Male
- 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 | 2423 | Primary | |
| Counseling Psychologist | 103TC1900X | 2423 |
Addresses
Primary practice location
1600 4TH Ave N
Bessemer, AL 35020-5711
Mailing address
PO Box 11642
Birmingham, AL 35202-1642
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.R. Moore & Associates LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1154675668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11642",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352021642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 4TH AVE N",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350205711",
"telephone_number": "205-703-2020",
"fax_number": "205-957-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "PHD, S-LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-06",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "2423",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": "2423",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.