Active NPI
Derrick Moore, LLC
- Counselor
- Alma, MI
National Provider Identifier
1245975507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451025047
- Practice address
- 608 Wright Ave
Alma, MI 48801-1617 - Phone
- (989) 463-4971
- Fax
- (989) 463-6515
- NPI assigned
- May 2, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451025047 | MI | Primary |
Addresses
Primary practice location
608 Wright Ave
Alma, MI 48801-1617
Mailing address
608 Wright Ave
Alma, MI 48801-1617
Phone (989) 463-4971
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1245975507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 WRIGHT AVE",
"city": "ALMA",
"state": "MI",
"postal_code": "488011617",
"telephone_number": "989-463-4971",
"fax_number": "989-463-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 WRIGHT AVE",
"city": "ALMA",
"state": "MI",
"postal_code": "488011617",
"telephone_number": "989-463-4971",
"fax_number": "989-463-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DERRICK",
"credential": "LLC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451025047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.