Talasha D Moore, MA, CRC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401019136 Issued in MI

Practice address

555 Towner St
Ypsilanti, MI 48198-5723

Phone

(734) 544-3000

Fax

(734) 544-6716

NPI assigned

Nov 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1669986386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 W MICHIGAN AVE LOT 326",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979169",
            "telephone_number": "734-985-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TOWNER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985723",
            "telephone_number": "734-544-3000",
            "fax_number": "734-544-6716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32231 Schoolcraft Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481504312",
            "country_code": "US",
            "telephone_number": "734-266-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TALASHA",
        "middle_name": "D",
        "credential": "MA, CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "MI",
            "license": "137516",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401019136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enid Alexandra Moore
• Jacqueline Marie Viol Moore, MD
• Jenna Lynn Moore, CTRS
• Lequel C Moore, LMSW
• Sarah Moore, DO
• Tamara Moore
• Tina Michele Moore
• Zade Moore
• James Edward Moravek Jr., MD
• Kori Morden, OT

• Counselor in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; 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.