Individual provider Active NPI

Nikki Lynn Moorman, LPC

  • Counselor
  • Flint, MI
National Provider Identifier
1255930640
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401223173 Issued in MI
Practice address
5409 Gateway Ctr Ste E
Flint, MI 48507-3992
Phone
(810) 584-5951
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 6451015089 MI
Counselor 101Y00000X 6401223173 MI Primary

Addresses

Primary practice location

5409 Gateway Ctr Ste E
Flint, MI 48507-3992

Mailing address

5409 Gateway Ctr Ste E
Flint, MI 48507-3992
Phone (810) 584-5951

Other practice location 1

8245 Holly Rd Ste 200
Grand Blanc, MI 48439-2483
Phone (248) 605-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801002615 MI Practitioner - Mental Health Counselor 6103363684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401223173MIMDCounselor
6451015089MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Armonia Holistic Therapy and Wellness LLC Counselor CurrentSince Jul 19, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. Single Specialty Past Accepting new patients

Locations

5409 Gateway Ctr
Ste E
Flint, MI 48507
Phone (810) 584-5951

10751 S Saginaw St
Grand Blanc, MI 48439
Phone (586) 214-6898

Organizations & group practices 2

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": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1255930640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 GATEWAY CTR STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073992",
            "telephone_number": "810-584-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 GATEWAY CTR STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073992",
            "telephone_number": "810-584-5951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8245 Holly Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484392483",
            "country_code": "US",
            "telephone_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "NIKKI",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451015089",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401223173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.