Vivian Barbara Moore, L.M.S.W., A.C.S.W

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801061554 Issued in MI

Practice address

20600 Eureka Rd
Suite 819
Taylor, MI 48180-5343

Phone

(734) 281-8282

Fax

(734) 281-0402

NPI assigned

Sep 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling and Evaluation PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelby TWP, MI
  • NPI 1588609861
  NPD (past)
• Pro Med Management Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelby TWP, MI
  • NPI 1477590917
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629170139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 ROLLING ACRES DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022837",
            "telephone_number": "248-851-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 EUREKA RD",
            "address_2": "SUITE 819",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805343",
            "telephone_number": "734-281-8282",
            "fax_number": "734-281-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VIVIAN",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W., A.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801061554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Moore
• Jaclyn Marie Moore
• Laronda K Moore, LPN
• Lauren Moore, CNA
• Veronica Lynn Moore
• Alexa Marie Morales
• Hayley Morey
• Christopher Derek Morita, CCC-SLP, MD
• Kathleen Grace Morrison, PT, DPT
• Pamela Morrison, DPM

• Mental Health Counselor in Taylor, MI
• Providers in Taylor, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.