Reginald A Moore, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0016004 Issued in CO

Practice address

2878 W Riverwalk Cir Unit B
Littleton, CO 80123-8919

Phone

(303) 990-2964

NPI assigned

Sep 30, 2020

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1457968646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 W RIVERWALK CIR UNIT B",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801238919",
            "telephone_number": "303-990-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 W RIVERWALK CIR UNIT B",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801238919",
            "telephone_number": "303-990-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REGINALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0016004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Moore, MS
• Emily Katherine Moore, FNP
• Lisa C Moore, RPH
• Megan Sue Moore, FNP-C
• Rebecca Ruth Moore, M.D.
• Tania Kay Moore
• Maria Morales, BCBA
• Nohely Morales
• Jodie Robin Moreland
• Mitchell Ryan Moret, D. C.

• Professional Counselor in Littleton, CO
• Providers in Littleton, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.