Moore Counseling and Consultation Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOORE COUNSELING AND CONSULTATION SERVICES LLC

Practice address

108 Ruby LN
Vicksburg, MS 39183-9227

Phone

(601) 529-6482

NPI assigned

Apr 13, 2019

Last updated

Apr 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jana Holmes-Moore, LPCNPI 1861408270

Title

Owner / Manager

Phone

(601) 529-6482

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jana L Holmes-Moore, LPC

  • Professional Counselor
  • Vicksburg, MS
  • NPI 1861408270
  NPD (past) Authorized official

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555113600000",
    "number": "1730642927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RUBY LN",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391839227",
            "telephone_number": "601-529-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RUBY LN",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391839227",
            "telephone_number": "601-529-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE COUNSELING AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-13",
        "last_updated": "2019-04-13",
        "status": "A",
        "authorized_official_last_name": "HOLMES-MOORE",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "601-529-6482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Mizell, M.D.
• Momentum Therapy Services of Mississippi LLC
• Alyssa Moncrief Smith
• Roxane Theresa Moncure, AGNP
• Ronnie Monsour
• Christine Moore
• Margret Moore, MS CCC-SLP
• Tanzania Mala Moore
• Thomas C Moore, MD
• Sheila Yvonne Moran

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.