Active NPI
Vicki Blake Moorehouse, LPC-MHSP, SAP, LMHC
- Professional Counselor
- Johnson City, TN
National Provider Identifier
1295005197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2788
- Practice address
- 4132 Bristol Hwy
Suite 4
Johnson City, TN 37601-2932 - Phone
- (423) 483-2376
- Fax
- (423) 975-0222
- NPI assigned
- Jan 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 10587 | FL | |
| Professional Counselor | 101YP2500X | 2788 | TN | Primary |
Addresses
Primary practice location
4132 Bristol Hwy
Suite 4
Johnson City, TN 37601-2932
Mailing address
4132 Bristol Hwy
Suite 4
Johnson City, TN 37601-2932
Phone (423) 483-2376
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 |
|---|---|---|---|
| MH 10587 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moorehouse Group | Professional | Past | Accepting new patients |
| Moorehouse Group, Inc | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Johnson City, TN
- NPI 1841555604
-
- Professional Counselor
- Johnson City, TN
- NPI 1922379676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1295005197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 BRISTOL HWY",
"address_2": "SUITE 4",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012932",
"telephone_number": "423-483-2376",
"fax_number": "423-975-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 BRISTOL HWY",
"address_2": "SUITE 4",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012932",
"telephone_number": "423-483-2376",
"fax_number": "423-975-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREHOUSE",
"first_name": "VICKI",
"middle_name": "BLAKE",
"credential": "LPC-MHSP, SAP, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 10587",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.