Individual provider Active NPI

Laura Josie Moore, LPC, NBCC, PH.D

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1679714380
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003033 Issued in PA
Practice address
313 W Liberty St Ste 222
Lancaster, PA 17603-2766
Phone
(178) 754-2177
Fax
(717) 393-9990
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 PC003033 PA Primary

Addresses

Primary practice location

313 W Liberty St Ste 222
Lancaster, PA 17603-2766

Mailing address

1602 Linden Ave
Lancaster, PA 17601-5236
Phone (717) 875-4217

Other practice location 1

41 N 3rd St
Lewisburg, PA 17837-1501
Phone (717) 875-4217

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC003033PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1679714380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 LINDEN AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015236",
            "telephone_number": "717-875-4217",
            "fax_number": "717-393-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST STE 222",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032766",
            "telephone_number": "178-754-2177",
            "fax_number": "717-393-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178371501",
            "country_code": "US",
            "telephone_number": "717-875-4217",
            "fax_number": "717-393-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAURA",
        "middle_name": "JOSIE",
        "name_prefix": "Dr.",
        "credential": "LPC, NBCC, PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.