Emory W Moore, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

121711 Issued in NM

Practice address

4481 Corrales Rd Ste 9
Corrales, NM 87048-8615

Phone

(505) 554-9099

NPI assigned

Oct 23, 2006

Last updated

Aug 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Counseling LLC

  • Professional Counselor
  • Corrales, NM
  • NPI 1184124257
  NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1689757650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94508",
            "address_2": "ALBUQUERQUE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87199",
            "telephone_number": "505-384-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 CORRALES RD STE 9",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488615",
            "telephone_number": "505-554-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMORY",
        "middle_name": "W",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "121711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83276319",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mauldin, PH.D., L.L.C.
• Ann M Micono, LICENSE MASSAGE THER
• Mimbres Counseling Services, LLC
• Erica Montoya-Heath, LCSW
• Leah Theresa Montoya
• Glenda Marie Moore, O. T.
• Naomi Moraga, CNP
• Natalie M Naranjo-Rodriguez, MA LPC NCC
• Timothy Neugebauer, MOTR/L
• New Mexico After School Enrichment

• Professional Counselor in Corrales, NM
• Providers in Corrales, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.