Premier Counseling and Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PREMIER COUNSELING AND PSYCHOLOGICAL SERVICES

Practice address

1756 Black River Blvd N # 186
Rome, NY 13440-2454

Phone

(317) 985-0173

NPI assigned

Dec 1, 2021

Organization subpart

No

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

Authorized official

Name

Latrease R Moore, PHDNPI 1497114920

Title

Co-Owner

Phone

(317) 985-0173

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latrease R Moore, LMHC

  • Clinical Psychologist
  • Utica, NY
  • NPI 1497114920

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1245998798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 BLACK RIVER BLVD N # 186",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402454",
            "telephone_number": "317-985-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 BLACK RIVER BLVD N # 186",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402454",
            "telephone_number": "317-985-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COUNSELING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LATREASE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "317-985-0173",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesava R Potluri, MD
• Debbie Ruth Powroznik, NP
• Pranay Pharmacy LLC
• Pranay Pharmacy LLC
• Catherine J. Preble, R.N.
• Prescription Center Pharmacy of Rome, Inc.
• Peter Z Previte, D.C.
• Julia Primps, PT, DPT
• Caroline Pritchard, LPN
• Professional Pharmacy Inc

• Clinical Psychologist in Rome, NY
• Providers in Rome, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.