Shashonna L Moore, LPCMH, CAADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0011143 Issued in DE

Practice address

910 S Chapel St Ste 102
Newark, DE 19713-3468

Phone

(302) 224-1400

Fax

(302) 224-1402

NPI assigned

Jan 28, 2015

Last updated

Feb 8, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mid-Atlantic Behavioral Health, LLC

  dba LifeStance Health

  • Intellectual & Developmental Disabilities Psychologist
  • Newark, DE
  • NPI 1871719872

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Center for Vein Restoration de LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rehoboth Beach, DE
  • NPI 1154991743
  NPD (past)
• Peculiar Counseling & Consulting, PLLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1609212034
  NPD (past)
• Selfless Foundation, Inc.

  • In Home Supportive Care Agency
  • Greensboro, NC
  • NPI 1891345765
  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1629468780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133468",
            "telephone_number": "302-224-1400",
            "fax_number": "302-224-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133468",
            "telephone_number": "302-224-1400",
            "fax_number": "302-224-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHASHONNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPCMH, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20626",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "2030",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011143",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Moore, CNM
• Jane Williams Moore, MD
• Krissa L Moore, MS
• Nancy J Moore, APN
• Patricia Moore, MD
• Tammie Lynn Moore, NP
• Youngja Moore, NP
• Farid M Moosavy, MD
• Carol Moran
• Moravia Care Network, LLC (Moravia Care.)

• Mental Health Counselor in Newark, DE
• Providers in Newark, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.