Active NPI
Erin Moore, MA, LLPC
- Mental Health Counselor
- Pontiac, MI
National Provider Identifier
1669174280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451022884
- Practice address
- 1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242 - Phone
- (248) 706-3450
- NPI assigned
- Mar 20, 2023
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 6451022884 | MI | |
| Mental Health Counselor | 101YM0800X | 6451022884 | MI | Primary |
Addresses
Primary practice location
1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242
Mailing address
4122 Big Rock CT
Grand Blanc, MI 48439-7994
Phone (810) 280-6096
Other practice location 1
42815 Garfield Rd Ste 201
Clinton Twp, MI 48038-1143
Phone (586) 333-5328
Other practice location 2
79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-2608
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022884 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708128000000",
"number": "1669174280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 BIG ROCK CT",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397994",
"telephone_number": "810-280-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 BALDWIN AVE STE 100",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483401242",
"telephone_number": "248-706-3450"
}
],
"practiceLocations": [
{
"address_1": "42815 Garfield Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480381143",
"country_code": "US",
"telephone_number": "586-333-5328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "79 W Alexandrine St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012015",
"country_code": "US",
"telephone_number": "313-831-2608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ERIN",
"credential": "MA, LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "6451022884",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451022884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.