Active NPI
Nona Moore
- Mental Health Counselor
- Roseville, MI
National Provider Identifier
1235825571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 27085 Gratiot Ave Ste 107
Roseville, MI 48066-2984 - Phone
- (586) 285-5361
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MI | Primary |
Addresses
Primary practice location
27085 Gratiot Ave Ste 107
Roseville, MI 48066-2984
Mailing address
23830 Saravilla Dr Apt 6
Clinton Township, MI 48035-3174
Phone (313) 773-4625
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psygenics Inc | Mental Health | Current | Accepting new patients |
Locations
27085 Gratiot Ave
Ste 107
Roseville, MI 48066
Phone (586) 285-5361
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": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1235825571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23830 SARAVILLA DR APT 6",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353174",
"telephone_number": "313-773-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27085 GRATIOT AVE STE 107",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480662984",
"telephone_number": "586-285-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "NONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.