Organization Active NPI

Moore Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Coldwater, MI
National Provider Identifier
1366638264
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801086022 Issued in MI
Legal business name
MOORE COUNSELING SERVICES, INC.
Practice address
259 E Chicago St
Coldwater, MI 49036-2046
Phone
(517) 320-5657
Fax
(517) 278-8901
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Ms. Brenee' D Moore, LMSWNPI 1790959575
Title
Owner
Phone
(517) 320-5657

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801086022 MI Primary

Addresses

Primary practice location

259 E Chicago St
Coldwater, MI 49036-2046

Mailing address

1815 Grays Lake Rd
Jonesville, MI 49250-9764
Phone (517) 320-5657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000523 MI Part B Supplier - Clinic/Group Practice 2062582398 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsdale, MI; Adrian, MI

National Provider Directory

National Provider Directory

Locations

2792 N Adrian Hwy
Adrian, MI 49221
Phone (517) 320-5657

30 N Howell St
Ste 22
Hillsdale, MI 49242
Phone (517) 320-5657

30 N Howell St
Ste 2
Hillsdale, MI 49242
Phone (517) 320-5657

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1366638264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 GRAYS LAKE RD",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509764",
            "telephone_number": "517-320-5657",
            "fax_number": "517-278-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362046",
            "telephone_number": "517-320-5657",
            "fax_number": "517-278-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRENEE'",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-320-5657",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801086022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.

Verify at the official NPI Registry.