Individual provider Active NPI

Ashley Mims Moore, LMFT

  • Marriage & Family Therapist
  • Pooler, GA
National Provider Identifier
1275966053
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001331 Issued in GA
Practice address
205 S Skinner Ave Unit B
Pooler, GA 31322
Phone
(912) 349-8043
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001331 GA Primary

Addresses

Primary practice location

205 S Skinner Ave Unit B
Pooler, GA 31322

Mailing address

205 S Skinner Ave Unit B
Pooler, GA 31322-3221
Phone (912) 349-8043

Other practice location 1

711 Zitterour Dr
Rincon, GA 31326-9269
Phone (912) 675-8913

Other practice location 2

7 E Congress St Ste 1000C
Savannah, GA 31401-3396
Phone (912) 349-8043

Other practice location 3

711 Zitterour Dr
Rincon, GA 31326-9269
Phone (912) 675-8913

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

LicenseStateTypeSpecialty
MFT001331GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Family Counseling Marriage & Family Therapist CurrentSince Nov 3, 2019 Accepting new patients
Moore Counseling and Consulting Services, LLC. Marriage & Family Therapist CurrentSince Nov 3, 2019 Accepting new patients

Locations

205 S Skinner Ave
Unit B
Pooler, GA 31322
Phone (912) 349-8043

711 Zitterour Dr
Rincon, GA 31326
Phone (706) 490-2555

3025 Bull St
Ste 219
Savannah, GA 31405

7 E Congress St
Ste 1000C
Savannah, GA 31401
Phone (912) 349-8043

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1275966053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S SKINNER AVE UNIT B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223221",
            "telephone_number": "912-349-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S SKINNER AVE UNIT B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "912-349-8043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Zitterour Dr",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313269269",
            "country_code": "US",
            "telephone_number": "912-675-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 E Congress St Ste 1000C",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314013396",
            "country_code": "US",
            "telephone_number": "912-349-8043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Zitterour Dr",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313269269",
            "country_code": "US",
            "telephone_number": "912-675-8913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLEY",
        "middle_name": "MIMS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.