Solace Grove Psychotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOLACE GROVE PSYCHOTHERAPY

Practice address

6325 Woodside CT
Columbia, MD 21046-1017

Phone

(410) 886-6202

NPI assigned

Oct 1, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Alexander Moore, PH.D.NPI 1821762220

Title

Founder/Psychologist

Phone

(301) 272-5080

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jacob Alexander Moore, PH.D.

  • Counseling Psychologist
  • Rockville, MD
  • NPI 1821762220

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1497629695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461017",
            "telephone_number": "410-886-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461017",
            "telephone_number": "410-886-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE GROVE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "FOUNDER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-272-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.