Carla S. Moore, L.P.C., C.A.D.C. II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LPC 1917 Issued in KS

Practice address

709 W. Holme
Norton, KS 67654

Phone

(785) 877-5101

Fax

(785) 877-3903

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1679762629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W. HOLME",
            "city": "NORTON",
            "state": "KS",
            "postal_code": "67654",
            "telephone_number": "785-877-5101",
            "fax_number": "785-877-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W. HOLME",
            "city": "NORTON",
            "state": "KS",
            "postal_code": "67654",
            "telephone_number": "785-877-5101",
            "fax_number": "785-877-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CARLA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "L.P.C., C.A.D.C. II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "LPC 1917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Lynn Krizek, D.D.S.
• Mark a Klein, D.D.S. PA
• Kathleen Elaine Martin
• Glenda M. Maurer, M.D.
• Patricia Renee McCartney, ARNP FNP-C
• Theresia A Neill, M.D.
• Margaret Beth Nielsen, OTR/L, CLT
• Norton Chiropractic Center
• Norton Community Schools
• Norton County Hospital (Norton Medical Clinic)

• Addiction (Substance Use Disorder) Counselor in Norton, KS
• Providers in Norton, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.