Active NPI
Amy Michele Moore, LPC
- Mental Health Counselor
- Marlton, NJ
National Provider Identifier
1508910993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00354200
- Practice address
- 765 E Route 70
Building a
Marlton, NJ 08053 - Phone
- (856) 797-4721
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00354200 | NJ | Primary |
Addresses
Primary practice location
765 E Route 70
Building a
Marlton, NJ 08053
Mailing address
Center for Family Guidance
765 E Route 70 BLDG a
Marlton, NJ 08053
Phone (856) 797-4721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00354200 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508910993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTER FOR FAMILY GUIDANCE",
"address_2": "765 E ROUTE 70 BLDG A",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-797-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 E ROUTE 70",
"address_2": "BUILDING A",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-797-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "AMY",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00354200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.