Active NPI
Lauren Marie Moore, PCC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1619126232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0800342
- Practice address
- 1943 W 5TH Ave
Columbus, OH 43212-1902 - Phone
- (614) 305-5102
- Fax
- (614) 383-7786
- NPI assigned
- Sep 18, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0800342 | OH | Primary |
Addresses
Primary practice location
1943 W 5TH Ave
Columbus, OH 43212-1902
Mailing address
3564 Wenwood Dr
Hilliard, OH 43026-2467
Phone (724) 316-6863
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 |
|---|---|---|---|
| E0800342 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1619126232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3564 WENWOOD DR",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430262467",
"telephone_number": "724-316-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1943 W 5TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432121902",
"telephone_number": "614-305-5102",
"fax_number": "614-383-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LAUREN",
"middle_name": "MARIE",
"credential": "PCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0800342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.