Jenna Lynn Moore, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

88791 Issued in MI

Practice address

7794 Paint Creek Dr
Ypsilanti, MI 48197-6139

Phone

(734) 352-3543

NPI assigned

Apr 21, 2026

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1487599940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 STEVENS DR APT 101",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974529",
            "telephone_number": "734-352-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7794 PAINT CREEK DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976139",
            "telephone_number": "734-352-3543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3588 Plymouth Rd # 393",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052603",
            "country_code": "US",
            "telephone_number": "734-352-3543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "88791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevyn Monier, MSW LMSW
• Meredith Juanita Montero Brandt, M.D.
• Ebony Theresa Montgomery, LPC
• Enid Alexandra Moore
• Jacqueline Marie Viol Moore, MD
• Lequel C Moore, LMSW
• Sarah Moore, DO
• Talasha D Moore, MA, CRC, LPC
• Tamara Moore
• Tina Michele Moore

• Recreation Therapist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.