Individual provider Active NPI

Margaret P Moore, L.M.F.T.

  • Marriage & Family Therapist
  • Owatonna, MN
National Provider Identifier
1184787632
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1675 Issued in MN
Practice address
1414 S Oak Ave Ste 6
Owatonna, MN 55060-3957
Phone
(507) 363-9063
Fax
(507) 455-0820
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1675 MN Primary

Addresses

Primary practice location

1414 S Oak Ave Ste 6
Owatonna, MN 55060-3957

Mailing address

1414 S Oak Ave Ste 6
Owatonna, MN 55060-3957
Phone (507) 363-9063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131001589 MN Practitioner - Marriage and Family Therapist 3072903970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Experiencing Moore PCGroup PAC ID 2466842364, 2 clinicians

Practice addresses (Care Compare)

1414 S Oak Ave
Suite 6
Owatonna, MN 55060-3957
Phone (507) 676-6834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1675MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Experiencing Moore, PC Marriage & Family Therapist CurrentSince Sep 29, 2021 Accepting new patients
Eat Well Nutrition Therapy, LLC CurrentSince Sep 5, 2021 Accepting new patients

Locations

1414 S Oak Ave
Ste 6
Owatonna, MN 55060
Phone (507) 363-9063

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1184787632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S OAK AVE STE 6",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603957",
            "telephone_number": "507-363-9063",
            "fax_number": "507-413-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S OAK AVE STE 6",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603957",
            "telephone_number": "507-363-9063",
            "fax_number": "507-455-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARGARET",
        "middle_name": "P",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

Verify at the official NPI Registry.