Individual provider Active NPI

Melissa O. Motley Moore, LPC

  • Professional Counselor
  • Petersburg, VA
National Provider Identifier
1811447584
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006083 Issued in VA
Practice address
1920 Matoax Ave
Petersburg, VA 23805-2843
Phone
(804) 467-5101
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006083 VA Primary

Addresses

Primary practice location

1920 Matoax Ave
Petersburg, VA 23805-2843

Mailing address

1920 Matoax Ave
Petersburg, VA 23805-2843
Phone (804) 467-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240112003170 VA Practitioner - Mental Health Counselor 5193176261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

9846 Lori Rd
Suite 210
Chesterfield, VA 23832-6695
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Find Your Balance Psychotherapy, LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

9846 Lori Rd
Ste 210
Chesterfield, VA 23832

9846 Lori Rd
#210
Chesterfield, VA 23832
Phone (607) 725-8988

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1811447584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MATOAX AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052843",
            "telephone_number": "804-467-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MATOAX AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052843",
            "telephone_number": "804-467-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTLEY MOORE",
        "first_name": "MELISSA",
        "middle_name": "O.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.