Debra J Moore, ED.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

528 Issued in SC

Practice address

1501 Sumter Street
Pastoral Counseling Service
Columbia, SC 29201-2928

Phone

(803) 296-5879

Fax

(803) 296-5061

NPI assigned

Dec 4, 2008

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

Other identifiers 1

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1457596553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUMTER STREET",
            "address_2": "PASTORAL COUNSELING SERVICE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012829",
            "telephone_number": "803-296-5879",
            "fax_number": "803-296-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUMTER STREET",
            "address_2": "PASTORAL COUNSELING SERVICE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012928",
            "telephone_number": "803-296-5879",
            "fax_number": "803-296-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBRA",
        "middle_name": "J",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "528",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "1505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "1505",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charkeishia Moore, LMSW
• Christian Kainoa Moore, MD
• Crystal Moore
• Damitchell Detavious Montez Moore, NCPT
• Daryl Denise Moore, CCC-SLP
• Donald G Moore, MD
• Edward E Moore, MD
• Erin M Moore, ATC
• Gabriella Moore
• Ginger Annette Moore, NNP

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.