Active NPI
Norma Moore
- Marriage & Family Therapist
- Auburn, CA
National Provider Identifier
1285751164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 47410
- Practice address
- 11512 B Ave
Auburn, CA 95603-2605 - Phone
- (530) 889-7221
- Fax
- (530) 889-2972
- NPI assigned
- Mar 23, 2007
- Last updated
- Feb 2, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 47410 | CA | Primary |
Addresses
Primary practice location
11512 B Ave
Auburn, CA 95603-2605
Mailing address
10105 Westhill Rd
Grass Valley, CA 95945-8515
Phone (530) 889-7221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 47410 | CA | MD | Marriage & Family Therapist |
| 47410 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1285751164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 WESTHILL RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959458515",
"telephone_number": "530-889-7221",
"fax_number": "530-889-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11512 B AVE",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032605",
"telephone_number": "530-889-7221",
"fax_number": "530-889-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "NORMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 47410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.