Wendy Wahl Moore, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCPC 1603 Issued in MD

Practice address

2800 S Shirlington Rd Ste 350
Arlington, VA 22206-3617

Phone

(703) 379-9311

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1316040306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 RANGE RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062425",
            "telephone_number": "410-703-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 350",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063617",
            "telephone_number": "703-379-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WENDY",
        "middle_name": "WAHL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LCPC 1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008383600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keva Moore, HOME HEALTH AIDE
• Marianne Moore, M.D.
• Michael Anthony Moore Jr.
• Rebba A Moore, LPC-R
• Sarah Moore, LPC
• Barbara Ann Morales
• Leslie C Moran, L.C.S.W.
• Megan Warco Moran, DPT, EDD
• Moravia Health Network, LLC
• Robert M. Mordkin, MD

• Counselor in Arlington, VA
• Providers in Arlington, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.