Individual provider Active NPI

Moriah Lecorgan, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1306440904
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
261257 Issued in KY
Practice address
5204 Matterhorn CT
Louisville, KY 40216-1870
Phone
(502) 600-1407
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
261257KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lecorgan Counseling & Wellness Professional CurrentSince Nov 29, 2020 Accepting new patients

Locations

4229 Bardstown Rd
Ste 316
Louisville, KY 40218
Phone (502) 270-1515

314 S Buckman St
Shepherdsville, KY 40165
Phone (502) 208-9079

555 W Blue Lick Rd
Shepherdsville, KY 40165

381 High School Dr
Shepherdsvlle, KY 40165

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 261257 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

5204 Matterhorn CT
Louisville, KY 40216-1870

Mailing address

5204 Matterhorn CT
Louisville, KY 40216-1870
Phone (502) 600-1407

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2020.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1306440904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 MATTERHORN CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161870",
            "telephone_number": "502-600-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 MATTERHORN CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161870",
            "telephone_number": "502-600-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECORGAN",
        "first_name": "MORIAH",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "261257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.