Active NPI
Camilla Joy Moore, LPC,NCC
- Professional Counselor
- Diberville, MS
National Provider Identifier
1811451941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2191
- Practice address
- 4262 Popps Ferry Rd
Diberville, MS 39540-2391 - Phone
- (601) 384-7551
- Fax
- (601) 384-7551
- NPI assigned
- Jan 23, 2019
- 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 | 2191 | MS | Primary |
Addresses
Primary practice location
4262 Popps Ferry Rd
Diberville, MS 39540-2391
Mailing address
989 Greystone Dr
Biloxi, MS 39532-2251
Phone (228) 438-0377
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2191 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakview Counseling LLC | Professional | Current | Accepting new patients |
| Live and Learn Inc. | Professional | Current | Accepting new patients |
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.
-
- Professional Counselor
- Diberville, MS
- NPI 1992390124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1811451941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 GREYSTONE DR",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322251",
"telephone_number": "228-438-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4262 POPPS FERRY RD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395402391",
"telephone_number": "601-384-7551",
"fax_number": "601-384-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CAMILLA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "LPC,NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diberville, MS
- Cynthia J McPherson-Richardson, LPC
- Mississippi Center for Autism and Related Developmental Disabilities
- Mississippi CVS Pharmacy LLC
- Mississippi CVS Pharmacy LLC
- Michael Eugene Moffett, RPH
- Jessica Y Morton, MA
- Shamorra T Moten
- Franchesca Elizabeth Moultrie
- Mark Garry Murray, M.D.
- Deborah Fetter Nastasi, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.