Active NPI
Catherine Moore, PCC
- Professional Counselor
- Beachwood, OH
National Provider Identifier
1568898427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E-0002423
- Practice address
- 23293 Commerce Park
Beachwood, OH 44122-5808 - Phone
- (216) 385-9653
- NPI assigned
- Sep 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E-0002423 | OH | Primary |
Addresses
Primary practice location
23293 Commerce Park
Beachwood, OH 44122-5808
Mailing address
4532 Mackall Rd
South Euclid, OH 44121-4240
Phone (216) 385-9653
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 |
|---|---|---|---|
| E-0002423 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1568898427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4532 MACKALL RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214240",
"telephone_number": "216-385-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23293 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225808",
"telephone_number": "216-385-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CATHERINE",
"credential": "PCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E-0002423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.