Chris Dasambiagio-Moore, MA, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3696 Issued in AL

Practice address

2303 13TH St
Tuscaloosa, AL 35401-2924

Phone

(205) 737-4675

NPI assigned

Jan 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Crimson Counseling and Consulting, LLC

  • Adult Mental Health Clinic/Center
  • Tuscaloosa, AL
  • NPI 1023660784
  NPD

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1366916728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 13TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 13TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012924",
            "telephone_number": "205-737-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASAMBIAGIO-MOORE",
        "first_name": "CHRIS",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "3696",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Duse Ivan
• Felicia Lewis Daniels, MSW
• Kimberly Daniels, PH.D
• James Barrett Darden, MD
• Shannon Lynn Darling, CRNP
• Melanie Davami, CRNP
• Salem K David Jr., M.D.
• Davis Dental
• Debra Stewart Davis, M.D.
• Doreen Davis, PH.D.

• All providers in Tuscaloosa, AL
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.