Adam Moore, PH.D., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

6746325-3902 Issued in UT

Practice address

4626 N 300 W Ste 150
Provo, UT 84604-6077

Phone

(801) 407-4134

Fax

(801) 877-0864

NPI assigned

Jun 8, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Sela Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Provo, UT
  • NPI 1497183024

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1811281678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 N 300 W STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046077",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 N 300 W STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046077",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2989 W Maple Loop Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437413",
            "country_code": "US",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "774 S 1600 W Fl 2",
            "address_purpose": "LOCATION",
            "city": "Mapleton",
            "state": "UT",
            "postal_code": "846644345",
            "country_code": "US",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "393 E Riverside Dr Ste 3A",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907127",
            "country_code": "US",
            "telephone_number": "435-688-2123",
            "fax_number": "801-877-0864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9494 W Flamingo Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891475718",
            "country_code": "US",
            "telephone_number": "702-659-9043",
            "fax_number": "801-877-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "6746325-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Montoya Branez
• Adrianne Moody
• Bryn Moody
• Milo Lyman Moody, M.D.
• Richard Allen Moody, PSY.D.
• Andrew Moore
• Aubrielle Moore
• Kaprena Moore
• Thora Elisebeth Lieby Moore
• Zoe Moore

• Marriage & Family Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.