Individual provider Active NPI

Lorena Vangjeli Moore

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1588389506
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3458 Hickory Landing CT
Jacksonville, FL 32226-2366
Phone
(386) 286-2128
NPI assigned
Oct 12, 2022
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3458 Hickory Landing CT
Jacksonville, FL 32226-2366

Mailing address

3458 Hickory Landing CT
Jacksonville, FL 32226-2366
Phone (386) 286-2128

Other names 1

  • Lorena Vangjeli Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmoore10@devereux.org
Direct Messaging Address lmoore10@devereux.org Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1588389506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 HICKORY LANDING CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262366",
            "telephone_number": "386-286-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 HICKORY LANDING CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262366",
            "telephone_number": "386-286-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LORENA",
        "middle_name": "VANGJELI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmoore10@devereux.org",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "address_1": "3458 Hickory Landing Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322262366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmoore10@devereux.org",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3458 Hickory Landing Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322262366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORENA",
            "last_name": "VANGJELI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.