Suzanne Moore-Ullrich, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004823 Issued in WA

Practice address

7075 Corfu Blvd NE
Bremerton, WA 98311-9547

Phone

(360) 471-3259

NPI assigned

Feb 14, 2007

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1417090127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 CORFU BLVD NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983119547",
            "telephone_number": "360-471-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 CORFU BLVD NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983119547",
            "telephone_number": "360-471-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-ULLRICH",
        "first_name": "SUZANNE",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICAR",
            "identifier": "A008",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "136218",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KITSAP PHYSICIANS SERVICE",
            "identifier": "91102010603",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK (MHN)",
            "identifier": "136218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freda K Monu O' Donoghue, LISW
• Derick Williams Moody, LMP
• Emma Moody
• Stefanie Moon, RN
• Ada C Moore-de la Cruz
• Donna Elizabeth Moore, MD
• Ebony Moore
• Lindsey Marie Moore
• Teresa Moore
• William H Moore, DO

• Mental Health Counselor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.