Individual provider Active NPI

Ashley Nicole Moore, M.ED

  • Counselor
  • Clarksville, TN
National Provider Identifier
1629314133
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
66559 Issued in TX
Practice address
441 Piney Dr
Clarksville, TN 37042-6192
Phone
(931) 588-9461
NPI assigned
Jan 2, 2013
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 262193 KY
Counselor 101Y00000X 66559 TX Primary

Addresses

Primary practice location

441 Piney Dr
Clarksville, TN 37042-6192

Mailing address

441 Piney Dr
Clarksville, TN 37042-6192
Phone (931) 588-9461

Other practice location 1

8370 US Highway 82
Sherman, TX 75092
Phone (903) 819-2335

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
262193KYMDCounselor
66559TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Joangeli Z Kasper, Ms, LPC Counseling Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashleymoore@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1629314133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PINEY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426192",
            "telephone_number": "931-588-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PINEY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426192",
            "telephone_number": "931-588-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8370 US Highway 82",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "75092",
            "country_code": "US",
            "telephone_number": "903-819-2335",
            "fax_number": "888-848-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "262193",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "66559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

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