Active NPI
Robert Richard Mooradian
- Clinical Social Worker
- Mount Pleasant, MI
National Provider Identifier
1205174992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L2184090
- Practice address
- 600 E Broadway St
Suite 200
Mount Pleasant, MI 48858-2701 - Phone
- (989) 772-5833
- NPI assigned
- Jan 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | L2238961 | MI | |
| Clinical Social Worker | 1041C0700X | L2184090 | MI | Primary |
Addresses
Primary practice location
600 E Broadway St
Suite 200
Mount Pleasant, MI 48858-2701
Mailing address
600 E Broadway St
Suite 200
Mount Pleasant, MI 48858-2701
Phone (989) 772-5833
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2238961 | MI | MD | Professional Counselor |
| L2184090 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Michigan Professional Counseling Associates | 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.
-
- Professional Counselor
- Mount Pleasant, MI
- NPI 1225319973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1205174992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E BROADWAY ST",
"address_2": "SUITE 200",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582701",
"telephone_number": "989-772-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E BROADWAY ST",
"address_2": "SUITE 200",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582701",
"telephone_number": "989-772-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORADIAN",
"first_name": "ROBERT",
"middle_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "L2238961",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "L2184090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.