Active NPI
David Moore Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Goshen, IN
National Provider Identifier
1285369926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- DAVID MOORE COUNSELING SERVICES
- Practice address
- 57340 Alpha Dr
Goshen, IN 46528-7808 - Phone
- (765) 506-1839
- NPI assigned
- Jul 18, 2022
- Last updated
- Jul 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Moore, LCSW
- Title
- Owner
- Phone
- (765) 506-1839
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
57340 Alpha Dr
Goshen, IN 46528-7808
Mailing address
57340 Alpha Dr
Goshen, IN 46528-7808
National Provider Directory
National Provider DirectoryLocations
57340 Alpha Dr
Goshen, IN 46528
Phone (574) 293-0005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Goshen, IN
- NPI 1124753918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658102400000",
"number": "1285369926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57340 ALPHA DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465287808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57340 ALPHA DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465287808",
"telephone_number": "765-506-1839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID MOORE COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-506-1839",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.