Marissa Moore, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005727 Issued in NY

Practice address

67 West St Ste 401
Brooklyn, NY 11222-5391

Phone

(917) 376-3564

NPI assigned

Sep 4, 2013

Sex

Female

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

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.

• Therapy Brooklyn Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1962982173
  NPD Authorized official
• Ackerman Institute for the Family

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1104250752
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1386079895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WEST ST STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WEST ST STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225391",
            "telephone_number": "917-376-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106013",
            "country_code": "US",
            "telephone_number": "212-879-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARISSA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005727",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazette Katina Moore
• Madison Renee Moore
• Margaret Moore, CASACT
• Margaret Monique Moore
• Marilyn Moore
• McKenna Lin Moore, OTR/L
• Michael Moore
• Michele Lynn Moore, MS,CCC-SLP
• Nakaita Moore
• Nola Roxanne Moore, LPN

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.