Individual provider Active NPI

Denise Michelle Moore, LPC

  • Professional Counselor
  • Philipsburg, PA
National Provider Identifier
1639563380
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008076 Issued in PA
Practice address
580 Old Route 322
Philipsburg, PA 16866
Phone
(814) 342-5678
Fax
(814) 342-0532
NPI assigned
Mar 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008076 PA Primary

Addresses

Primary practice location

580 Old Route 322
Philipsburg, PA 16866

Mailing address

1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112
Phone (814) 342-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1639563380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 PHILIPSBURG BIGLER HWY",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668112",
            "telephone_number": "814-342-5678",
            "fax_number": "814-342-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 OLD ROUTE 322",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "16866",
            "telephone_number": "814-342-5678",
            "fax_number": "814-342-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.