Brandon Moten, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4354 Issued in AL

Practice address

1565 E Trinity Blvd Unit Aa03
Montgomery, AL 36106-2897

Phone

(334) 310-5272

NPI assigned

May 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Moten Therapeutic Services

  • Professional Counselor
  • Montgomery, AL
  • NPI 1881395036
  NPD Authorized official
• Moten Therapeutic Services

  • Professional Counselor
  • Montgomery, AL
  • NPI 1902481906
  NPD Authorized official

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1255997680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 FITZPATRICK BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164844",
            "telephone_number": "773-354-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 E TRINITY BLVD UNIT AA03",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062897",
            "telephone_number": "334-310-5272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4117 Fitzpatrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361164844",
            "country_code": "US",
            "telephone_number": "773-354-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTEN",
        "first_name": "BRANDON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Mose III, BS
• Beatrice Charmaine Mosier, PH.D.
• Frederick M Moss, MD
• Moten Therapeutic Services
• Moten Therapeutic Services
• Breana Moultry
• Mount Everest Health LLC
• Brittney Mount, CRNP
• Heather Ellis Mount, PT, DSC
• Mary Jamie Mount, D.M.D.

• Professional Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.