Individual provider Active NPI

Willliam Joseph Moorman, M.DIV., MS, PH.D.

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1447766613
Registry record updated Dec 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1263 Issued in MD
Practice address
611 Park Ave Ste 102
Baltimore, MD 21201-4572
Phone
(410) 777-8130
NPI assigned
Dec 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 1263 MD
Professional Counselor 101YP2500X 1263 MD Primary

Addresses

Primary practice location

611 Park Ave Ste 102
Baltimore, MD 21201-4572

Mailing address

110 E Melrose Ave
Baltimore, MD 21212-2942
Phone (410) 227-0225

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
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1263MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychexperts & Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.moorman@msa-the-child-adolescent.direct.kno2fy.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513987200000",
    "number": "1447766613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MELROSE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122942",
            "telephone_number": "410-227-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 PARK AVE STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014572",
            "telephone_number": "410-777-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "WILLLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.DIV., MS, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-23",
        "last_updated": "2017-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "1263",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2017; 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.