Active NPI
Tasjanique Moore, LMSW
- Mental Health Counselor
- New Orleans, LA
National Provider Identifier
1205292125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13356
- Practice address
- 10040 I 10 Service Rd Ste B
New Orleans, LA 70127-2701 - Phone
- (504) 821-5220
- NPI assigned
- Jan 7, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 13356 | LA | |
| Mental Health Counselor | 101YM0800X | 13356 | LA | Primary |
Addresses
Primary practice location
10040 I 10 Service Rd Ste B
New Orleans, LA 70127-2701
Mailing address
5527 Citrus Blvd
Y282
Elmwood, LA 70123
Phone (504) 617-0374
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 |
|---|---|---|---|
| 13356 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Hope Children and Family Services | Mental Health | 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.
-
- Mental Health Counselor
- New Orleans, LA
- NPI 1548795149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1205292125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5527 CITRUS BLVD",
"address_2": "Y282",
"city": "ELMWOOD",
"state": "LA",
"postal_code": "70123",
"telephone_number": "504-617-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10040 I 10 SERVICE RD STE B",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701272701",
"telephone_number": "504-821-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TASJANIQUE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2023-07-19",
"certification_date": "2023-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "13356",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "13356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.