Jennifer L Moore, LMFT, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JENNIFER L MOORE, LMFT, LLC

Practice address

601 N Belair SQ Ste 2
Evans, GA 30809-4322

Phone

(706) 619-1286

Fax

(803) 792-4055

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Lee Moore, LMFTNPI 1811445273

Title

Owner

Phone

(864) 398-9418

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Moore

  • Marriage & Family Therapist
  • Evans, GA
  • NPI 1811445273
  NPD Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1679115414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N BELAIR SQ STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094322",
            "telephone_number": "706-619-1286",
            "fax_number": "803-792-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BELAIR SQ STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094322",
            "telephone_number": "706-619-1286",
            "fax_number": "803-792-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L MOORE, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-398-9418",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deonna O. James, CCC-SLP
• Laura James
• Sara Swan James, M. ED. CCC-SLP
• Joyce Rebecca Jay-Ruvare, RBT
• Ellen Jester Jenkins, LPC
• Heather Jennings, NP
• Kimberly Jennings, NURSE PRACTITIONER
• Jacqueline Marie Jeschke, DPT
• Christopher Ryan Jimenez, MD
• Adeline Janine Johnson, M.D.

• Adult Mental Health Clinic/Center in Evans, GA
• Providers in Evans, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.