Individual provider Active NPI

Dorothy M Moore, PH.D., LPC, ACS

  • Mental Health Counselor
  • Portsmouth, VA
National Provider Identifier
1700213766
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701005610 Issued in VA
Practice address
3300 Tyre Neck Rd Ste a
Portsmouth, VA 23703-3319
Phone
(757) 419-1871
Fax
(844) 374-3058
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X 0701005610 VA Primary

Addresses

Primary practice location

3300 Tyre Neck Rd Ste a
Portsmouth, VA 23703-3319

Mailing address

3300 Tyre Neck Rd Ste a
Portsmouth, VA 23703-3319
Phone (757) 419-1871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515003103 VA Practitioner - Mental Health Counselor 3173964640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3300 Tyre Neck Rd
Suite a
Portsmouth, VA 23703-3319
Phone (757) 419-1871

3300 Tyre Neck Rd a
Portsmouth, VA 23703-3319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701005610VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gift of Therapy and Consulting, LLC CurrentSince Nov 19, 2023 Accepting new patients

Locations

3300 Tyre Neck Rd
Ste A
Portsmouth, VA 23703
Phone (757) 335-4044

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1700213766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TYRE NECK RD STE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033319",
            "telephone_number": "757-419-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TYRE NECK RD STE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033319",
            "telephone_number": "757-419-1871",
            "fax_number": "844-374-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DOROTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.