Active NPI
Jordia Moorman
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1265042543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016007
- Practice address
- 5410 Powers Center PT Ste 210
Colorado Springs, CO 80920-7148 - Phone
- (719) 203-2014
- Fax
- (719) 203-2014
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0016007 | CO | Primary |
Addresses
Primary practice location
5410 Powers Center PT Ste 210
Colorado Springs, CO 80920-7148
Mailing address
5410 Powers Center PT Ste 210
Colorado Springs, CO 80920-7148
Phone (719) 203-2014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 451594414 | Other | CO | GROUP TAX ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016007 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1265042543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 POWERS CENTER PT STE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207148",
"telephone_number": "719-203-2014",
"fax_number": "719-203-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 POWERS CENTER PT STE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207148",
"telephone_number": "719-203-2014",
"fax_number": "719-203-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORMAN",
"first_name": "JORDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "451594414",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.