Meredith Kaye Moore, LMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99119690A Issued in IN

Practice address

3820 Wind Drift Dr W Apt 2D
Indianapolis, IN 46254-3235

Phone

(765) 228-9990

NPI assigned

Jul 27, 2023

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

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1417638982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 WIND DRIFT DR W APT 2D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 WIND DRIFT DR W APT 2D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543235",
            "telephone_number": "765-228-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MEREDITH",
        "middle_name": "KAYE",
        "credential": "LMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99119690A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Jane Moore, M.D.
• Marsha Estella Moore, LCSW
• Marsheanna L Moore
• Matthew T Moore, MD
• Meredith Grace Moore
• Michael Geoffrey Moore, M.D.
• Nieka Moore
• Patricia S Moore, STAFF NURSE
• Patrick Dale Moore, D.C.
• Patryce Jeanale Moore

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.