Jonathan T Moore, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1243 E Dixon Blvd Ste 4
Shelby, NC 28152-6893

Phone

(704) 487-4000

NPI assigned

Jun 20, 2017

Sex

Male

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)

Not enrolled

Practice roles

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.

• Preferred Choice Healthcare

  • Community/Behavioral Health Agency
  • Shelby, NC
  • NPI 1073827861

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1639699820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 E DIXON BLVD STE 4",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 E DIXON BLVD STE 4",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526893",
            "telephone_number": "704-487-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momentum Ministries, Inc.
• Momentum Ministries, Inc.
• Momentum Ministries, Inc.
• Monarch
• Alesha Jolene Newman Moore, FNP-C
• Betty C Morehead, NP-C
• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.

• All providers in Shelby, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.