NPIMap

Organization Active NPI

Antonia Moore

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1477625580
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35520 Issued in TX
Legal business name
ANTONIA MOORE
Doing business as
Higher Grounds Counseling Service
Practice address
7505 Fannin St
Ste 310
Houston, TX 77054-1945
Phone
(713) 349-9796
Fax
(877) 594-6465
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Mrs. Antonia W. Moore, LCSWNPI 1750500856
Title
Clinical Director
Phone
(713) 349-9796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 35520 TX Primary

Addresses

Primary practice location

7505 Fannin St
Ste 310
Houston, TX 77054-1945

Mailing address

3014 Haverling Dr
Pearland, TX 77584-9159
Phone (713) 349-9796

Other identifiers 2

IdentifierTypeStateIssuer
219965OtherTXCOMPSYCH, MENTAL HEALTH
156412201MedicaidTX

Other names 1

  • Higher Grounds Counseling Service Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1477625580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 HAVERLING DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849159",
            "telephone_number": "713-349-9796",
            "fax_number": "877-594-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 FANNIN ST",
            "address_2": "STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541945",
            "telephone_number": "713-349-9796",
            "fax_number": "877-594-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIA MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "713-349-9796",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH, MENTAL HEALTH",
            "identifier": "219965",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156412201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Higher Grounds Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.