Individual provider Active NPI

Dennis Mark Moran, L.P.C., C.A.C.

  • Professional Counselor
  • Bridgeville, PA
National Provider Identifier
1811907090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000224 Issued in PA
Practice address
1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862
Phone
(412) 206-0123
Fax
(412) 206-0128
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PC000224 PA Primary

Addresses

Primary practice location

1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862

Mailing address

230 N Craig St
Suite B
Pittsburgh, PA 15213-1565
Phone (412) 621-3777

Other identifiers 1

IdentifierTypeStateIssuer
1437430OtherPABC/BS

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

LicenseStateTypeSpecialty
PC000224PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811907090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST",
            "address_2": "SUITE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131565",
            "telephone_number": "412-621-3777",
            "fax_number": "412-622-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON PIKE",
            "address_2": "SUITE 303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172862",
            "telephone_number": "412-206-0123",
            "fax_number": "412-206-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "DENNIS",
        "middle_name": "MARK",
        "credential": "L.P.C., C.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1437430",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.