Tiffany Annette Moore, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2003019174 Issued in MO

Practice address

5 W Pearce Blvd
Wentzville, MO 63385-1415

Phone

(636) 344-6572

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Renewed Hope for Mental Health, LLC

  • Counselor
  • Wentzville, MO
  • NPI 1770195315
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1366456048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PLEASANT MEADOWS DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633852672",
            "telephone_number": "636-344-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851415",
            "telephone_number": "636-344-6572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 S Kirkwood Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631226195",
            "country_code": "US",
            "telephone_number": "314-206-3920",
            "fax_number": "314-206-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIFFANY",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2003019174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Montgomery, MD
• Brittany Anyce Moore, LPC
• Christa Moore, LPC
• Elaine Susan Moore, RDH
• Jason Wade Moore, PLPC
• Brady Moran, OTD
• Summer Lacole Morefield
• Morganics, LLC (ProActive Chiropractic & Rehab)
• Jenna M Morrison, PLPC
• Lindsay Mosley

• Mental Health Counselor in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.