Active NPI
Laura Moore
- Counselor
- Royal Oak, MI
National Provider Identifier
1629945944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 29488 Woodward Ave # 507
Royal Oak, MI 48073-0903 - Phone
- (248) 571-7040
- Fax
- (313) 217-3246
- NPI assigned
- Oct 21, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MI | ||
| Counselor | 101Y00000X | MI | Primary |
Addresses
Primary practice location
29488 Woodward Ave # 507
Royal Oak, MI 48073-0903
Mailing address
29488 Woodward Ave # 507
Royal Oak, MI 48073-0903
Phone (248) 571-7040
Other names 1
- Coach Moore
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marriage Means Moore Inc | Current | Accepting new patients |
Locations
29488 Woodward Ave
Royal Oak, MI 48073
Phone (248) 571-7040
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Oak Park, MI
- NPI 1811684012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1629945944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29488 WOODWARD AVE # 507",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480730903",
"telephone_number": "248-571-7040",
"fax_number": "313-217-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29488 WOODWARD AVE # 507",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480730903",
"telephone_number": "248-571-7040",
"fax_number": "313-217-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COACH",
"last_name": "MOORE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.