Nancy Kay Moore, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC02491 Issued in MN

Practice address

118 Avenue C
Cloquet, MN 55720-1546

Phone

(218) 878-9352

Fax

(218) 878-9342

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nancy.k.moore@state.mn.us
• Direct secure messaging: nancy@counselingcenter.me

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.

• Compass Rose Counseling and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cloquet, MN
  • NPI 1962143974
  NPD
• Minnesota Sex Offender Program

  • Psychiatric Residential Treatment Facility
  • Moose Lake, MN
  • NPI 1730354549
  NPD (past)
• State of Minnesota

  • Psychiatric Residential Treatment Facility
  • Moose Lake, MN
  • NPI 1639355902
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1780293845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201546",
            "telephone_number": "218-878-9352",
            "fax_number": "218-878-9342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Highway 73",
            "address_purpose": "LOCATION",
            "city": "Moose Lake",
            "state": "MN",
            "postal_code": "557679452",
            "country_code": "US",
            "telephone_number": "218-565-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NANCY",
        "middle_name": "KAY",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.k.moore@state.mn.us",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Highway 73",
            "city": "Moose Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557679452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy@counselingcenter.me",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 Avenue C",
            "city": "Cloquet",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557201546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Miles, RN
• Joie Ann Miletich, LICSW
• Susan M Miller, D.D.S
• Brance E Modin, M.D.
• Michelle Francis Montez, LADC
• Moose Lake Isd 97
• Beth A Mork, M.D.
• Kimberly Rene Munoz, LICSW, LADC
• Amanda Maria Murray, CNM
• Nathan Alexander Murray

• Professional Counselor in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.