Active NPI
Angela Moore Counseling LLC
- Community/Behavioral Health Agency
- Dora, AL
National Provider Identifier
1316279334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2425
- Legal business name
- ANGELA MOORE COUNSELING LLC
- Practice address
- 2165 Hwy 78
Ste 100
Dora, AL 35062 - Phone
- (205) 648-4567
- Fax
- (205) 648-4551
- NPI assigned
- Feb 1, 2010
- Last updated
- Nov 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela J Moore, PHD
- Title
- Member
- Phone
- (205) 365-7699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2425 | AL | Primary |
Addresses
Primary practice location
2165 Hwy 78
Ste 100
Dora, AL 35062
Mailing address
5484 Littleton Kilgore Rd
Dora, AL 35062
Phone (205) 365-7699
Other names 1
- Gallien Counseling LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Angela Moore Counseling LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Dora, AL
- NPI 1235014135
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1316279334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5484 LITTLETON KILGORE RD",
"city": "DORA",
"state": "AL",
"postal_code": "35062",
"telephone_number": "205-365-7699",
"fax_number": "205-648-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 HWY 78",
"address_2": "STE 100",
"city": "DORA",
"state": "AL",
"postal_code": "35062",
"telephone_number": "205-648-4567",
"fax_number": "205-648-4551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA MOORE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-01",
"last_updated": "2023-11-21",
"certification_date": "2022-12-07",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "205-365-7699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AL",
"license": "2425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gallien Counseling LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Dora, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.