Lindsay Moore, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012452 Issued in IL

Practice address

603 Devon Dr
Saint Joseph, IL 61873-9622

Phone

(217) 714-3763

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Align Counseling and Wellness LLC

  • Professional Counselor
  • Saint Joseph, IL
  • NPI 1902536857

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1306206883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DEVON DR",
            "city": "SAINT JOSEPH",
            "state": "IL",
            "postal_code": "618739622",
            "telephone_number": "217-714-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DEVON DR",
            "city": "SAINT JOSEPH",
            "state": "IL",
            "postal_code": "618739622",
            "telephone_number": "217-714-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 W Clark St",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618204637",
            "country_code": "US",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 N Gilbert St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618325639",
            "country_code": "US",
            "telephone_number": "217-504-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LINDSAY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010754",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Joseph, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.