Donna Michelle Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

436 Court St Ste B
Muskogee, OK 74401-6303

Phone

(918) 310-0000

NPI assigned

Feb 28, 2023

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hope Blooms LLC

  • Mental Health Counselor
  • Muskogee, OK
  • NPI 1912665092
  NPD

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1346949419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690184",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741690184",
            "telephone_number": "915-667-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 COURT ST STE B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016303",
            "telephone_number": "918-310-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871844967",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "holycargo@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "436 Court St Ste B",
            "city": "Muskogee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744016303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "holycargo@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "436 Court St Ste B",
            "city": "Muskogee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744016303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Herbert Blair Monhollon, PA-C
• Monty Harrison Montgomery, DNM, PHD, ATC, LAT
• Tom Montgomery III
• Stephanie Moore-Jordan, LMSW
• Deanna Matthews Moore, RN
• Jamison Cary Moore, DPH
• Kelly Marie Moore, APRN, NP
• Patsy Moore
• Tamara Moore, RN
• Tracey Rae Moore

• Mental Health Counselor in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.