Individual provider Active NPI

Sylvia Moore, MSC, CAC III

  • Mental Health Counselor
  • Parker, CO
National Provider Identifier
1447524665
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC-10953 Issued in CO
Practice address
18425 Pony Express Dr
Suite 203
Parker, CO 80134-9605
Phone
(303) 805-1218
Fax
(303) 805-3679
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC-7273 CO
Mental Health Counselor 101YM0800X NLC-10953 CO Primary

Addresses

Primary practice location

18425 Pony Express Dr
Suite 203
Parker, CO 80134-9605

Mailing address

18425 Pony Express Dr
Suite 203
Parker, CO 80134-9605
Phone (303) 805-1218

Other identifiers 1

IdentifierTypeStateIssuer
02656027MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACC-7273COMDAddiction (Substance Use Disorder) Counselor
NLC-10953COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1447524665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 PONY EXPRESS DR",
            "address_2": "SUITE 203",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349605",
            "telephone_number": "303-805-1218",
            "fax_number": "303-805-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 PONY EXPRESS DR",
            "address_2": "SUITE 203",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349605",
            "telephone_number": "303-805-1218",
            "fax_number": "303-805-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SYLVIA",
        "credential": "MSC, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC-7273",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC-10953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02656027",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.