Leroy Moore III

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CG60720520 Issued in WA

Practice address

8811 S. Tacoma Way
106
Lakewood, WA 98499

Phone

(253) 302-3826

NPI assigned

Dec 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Asian American Chemical Dependency Treatment Services

  dba Asian Counseling Treatment Services

  • Community/Behavioral Health Agency
  • Lakewood, WA
  • NPI 1144451048
  NPD (past)
• Asian American Chemical Dependency Treatment Services

  dba Asian Counseling Treatment Services

  • Community/Behavioral Health Agency
  • Lynnwood, WA
  • NPI 1821382870
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1609382381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 S. TACOMA WAY",
            "address_2": "106",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-302-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LEROY",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60720520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elton Moore, BA
• Eva Nduta Moore, RN
• Frances Mae Moore, HS
• Fridah Muthoni Moore
• Jacqueline Colleen Moore, DPT
• Michele Moore, MA
• Julian Morales Hallmark
• Jared Morales
• Tauana Morales
• Sean Patrick Moran

• Counselor in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.