Jason Don Moore, BSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

AP00944904 Issued in WV

Practice address

120 Harper CT
Beckley, WV 25801-2650

Phone

(304) 255-7526

NPI assigned

Jun 30, 2016

Sex

Male

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

Enrolled in WV

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Life Strategies Counseling Services IncGroup PAC ID 6002819687, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Strategies Counseling Services Inc.

  • Clinical Social Worker
  • Beckley, WV
  • NPI 1700837143
  Medicare reassignment Care Compare group NPD
• Beautiful Minds Counseling Center

  • Community/Behavioral Health Agency
  • Princeton, WV
  • NPI 1518691476
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1801247879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5084",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017500",
            "telephone_number": "304-255-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HARPER CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012650",
            "telephone_number": "304-255-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASON",
        "middle_name": "DON",
        "credential": "BSW, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00944904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Moore
• De'Zion Moore
• Emily Ann Moore
• Gregory Moore
• Heather Marie Moore
• Misty Dawn Moore
• Morgan Nicole Moore
• Tammy Lynnette Moore
• Tasha Moore
• Tyler Moore

• Social Worker in Beckley, WV
• Providers in Beckley, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.