Active NPI
Erin Moore
- Mental Health Counselor
- Riverview, FL
National Provider Identifier
1316671027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11912 Balm Riverview Rd
Riverview, FL 33569-6601 - Phone
- (813) 444-7116
- NPI assigned
- Jul 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11912 Balm Riverview Rd
Riverview, FL 33569-6601
Mailing address
11912 Balm Riverview Rd
Riverview, FL 33569-6601
Phone (813) 444-7116
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@renewedic.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Integrative Counseling | Mental Health | Current | Accepting new patients |
Locations
11912 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 444-7116
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1316671027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11912 BALM RIVERVIEW RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335696601",
"telephone_number": "813-444-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11912 BALM RIVERVIEW RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335696601",
"telephone_number": "813-444-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2023-08-01",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@renewedic.com",
"affiliation": "N",
"address_1": "11912 Balm Riverview Rd",
"city": "Riverview",
"state": "FL",
"country_code": "US",
"postal_code": "335696601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.