Tamara Nicole Moore, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2023007047 Issued in MO

Practice address

100 Centre on the LK
Lake St Louis, MO 63367-1369

Phone

(314) 323-7811

NPI assigned

Feb 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1376241976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 FOREST CREEK DR APT F",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423744",
            "telephone_number": "314-323-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRE ON THE LK",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671369",
            "telephone_number": "314-323-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMARA",
        "middle_name": "NICOLE",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023007047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri CVS Pharmacy, L.L.C.
• Missouri Healthcenters LLC
• Shannon J Mitchell
• Frank Delbert Moeller, MD
• Katherine McKean Moore, PHARMD
• Juli Ann Mork, OTR
• Bradley Christian Morr, DPT
• MTM Transit, LLC
• Naresh Solanki Inc
• Ammar Nasir, MD

• Mental Health Counselor in Lake St Louis, MO
• Providers in Lake St Louis, 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 Mar 4, 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.