Donna A Moore, MENTAL HEALTH COUNSE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003801 Issued in NY

Practice address

188 40A 71St Crescent
3C
Fresh Meadows, NY 11365-3723

Phone

(347) 241-1478

NPI assigned

May 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1184916249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 40A 71ST CRESCENT 3C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653723",
            "telephone_number": "347-241-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 40A 71ST CRESCENT",
            "address_2": "3C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653723",
            "telephone_number": "347-241-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "A",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Mongelli
• Mayasa Monroe
• Lauren M Montemayor, PA
• Marie A.M. Montlouis
• Jungwon Moon
• Carolina Mora
• Jovelyn Sison Morada, OTR/L
• Mark M Moradi, MD
• Veronica Cecilia Morales
• Thea Imani Moreira

• Mental Health Counselor in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.