Reginald A Moore, PHD
Individual provider Active NPI Professional Counselor · Littleton, CO
NPI 1457968646 · NPPES record last updated Sep 30, 2020
Key facts
- NPI
- 1457968646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0016004 (CO)
- Practice address
- 2878 W Riverwalk Cir Unit B
Littleton, CO 80123-8919 - Phone
- (303) 990-2964
- NPI assigned
- Sep 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016004 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0016004 | CO | Yes |
Addresses
Primary practice location
2878 W Riverwalk Cir Unit B
Littleton, CO 80123-8919
Mailing address
2878 W Riverwalk Cir Unit B
Littleton, CO 80123-8919
Phone (303) 990-2964
Other providers in Littleton, CO
- Bianca Lynn Moore
- Brenda Moore
- Emily Katherine Moore
- Megan Sue Moore
- Rebecca Ruth Moore
- Tania Kay Moore
- Maria Morales
- Nohely Morales
- Jodie Robin Moreland
- Mitchell Ryan Moret
All providers in Littleton, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.