Active NPI
Jasmine Moore, M.S
- Professional Counselor
- Los Angeles, CA
National Provider Identifier
1790517720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15225
- Practice address
- 10200 Success Ave
Los Angeles, CA 90002-3084 - Phone
- (310) 650-6069
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15225 | CA | Primary |
Addresses
Primary practice location
10200 Success Ave
Los Angeles, CA 90002-3084
Mailing address
10200 Success Ave
Los Angeles, CA 90002-3084
Phone (213) 824-5522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1790517720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 SUCCESS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023084",
"telephone_number": "213-824-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SUCCESS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023084",
"telephone_number": "310-650-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JASMINE",
"credential": "M.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "15225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.