Tangee Moore, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904008953 Issued in VA

Practice address

6523 Centralia Rd
Chesterfield, VA 23832-6587

Phone

(804) 214-2260

Fax

(804) 214-2270

NPI assigned

Apr 22, 2015

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)

Enrolled

State licenses

Practice roles

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.

• River City Integrative Counseling

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1619369444
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1700273299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 CENTRALIA RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326587",
            "telephone_number": "804-214-2260",
            "fax_number": "804-214-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 CENTRALIA RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326587",
            "telephone_number": "804-214-2260",
            "fax_number": "804-214-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TANGEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904008953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobilemed Primary Care LLC
• Mobilemed Primary Care, LLC
• Mary Beth Moehl
• Kaitlyn Moore
• Lottie M Moore
• Emma Elizabeth Moredock, DDS
• Roberta H. Morell, LCSW
• Bonnie Moreno, LCSW
• Tina Mravcak
• Kyle Patrick Mullins, PHARM D.

• Mental Health Counselor in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.