Marissa Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0018049 Issued in CO

Practice address

7779 Martin Luther King Blvd
Denver, CO 80238-3802

Phone

(303) 785-6635

NPI assigned

Apr 5, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joy As Resistance

  • Clinical Social Worker
  • Denver, CO
  • NPI 1417563123
  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1376122606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7779 MARTIN LUTHER KING BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 MARTIN LUTHER KING BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383802",
            "telephone_number": "303-785-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0018049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000187286",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "address_1": "7779 Martin Luther King Blvd",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802383802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Moore, MS, RD
• Lauren K Moore
• Lindsey Jean Moore, APRN
• Lisa C Moore
• Lucas E. Moore
• Michael Lee Moore, M.D.
• Michael Leo Moore, RPH
• Morris Moore, M.D.
• Natalie Sobieray Moore, RN
• Natasha C Moore

• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.