Individual provider Active NPI

Emily Moore

  • Professional Counselor
  • Tucker, GA
National Provider Identifier
1609338342
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011938 Issued in GA
Practice address
3682 Bonnie Glenn LN
Tucker, GA 30084-8333
Phone
(404) 919-9582
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011938 GA Primary
Professional Counselor 101YP2500X 006091 GA

Addresses

Primary practice location

3682 Bonnie Glenn LN
Tucker, GA 30084-8333

Mailing address

3682 Bonnie Glenn LN
Tucker, GA 30084-8333
Phone (404) 919-9582

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

LicenseStateTypeSpecialty
006091GAMDProfessional Counselor
LPC011938GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Counseling, LLC CurrentSince Jan 1, 2021 Accepting new patients
Counseling Innovations, LLC Professional PastSince Dec 1, 2020 Accepting new patients
Brighter Tomorrows Consulting, LLC Professional Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1609338342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3682 BONNIE GLENN LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848333",
            "telephone_number": "404-919-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3682 BONNIE GLENN LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848333",
            "telephone_number": "404-919-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011938",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.