Individual provider Active NPI

Thomas Lowell Moore, PH.D.

  • Professional Counselor
  • Florence, AL
National Provider Identifier
1821372087
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1402 Issued in MS
Practice address
1711 Hermitage Dr
Florence, AL 35630-2517
Phone
(205) 910-2233
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1402 MS Primary
School Psychologist 103TS0200X 187291 MS

Addresses

Primary practice location

1711 Hermitage Dr
Florence, AL 35630-2517

Mailing address

1711 Hermitage Dr
Florence, AL 35630-2517
Phone (205) 910-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250129002191 AL Practitioner - Mental Health Counselor 6406385822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy Behavioral Health LLCGroup PAC ID 3375958853, 46 clinicians

Practice addresses (Care Compare)

158 Heathrow Dr
Florence, AL 35633-1570
Phone (256) 320-7781

1609 Mockingbird CT
Suite B
Florence, AL 35630-7511
Phone (256) 320-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
187291MSMDSchool Psychologist
1402MSMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals NP Homecare, LLC Current Accepting new patients
Remedy Behavioral Health, LLC CurrentSince Jan 10, 2025 Accepting new patients
Remedy Healthcare LLC PastSince Jul 1, 2023 Accepting new patients

Locations

1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778

120 S Locust St
Florence, AL 35630
Phone (256) 320-7781

1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1821372087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HERMITAGE DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302517",
            "telephone_number": "205-910-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 HERMITAGE DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302517",
            "telephone_number": "205-910-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "THOMAS",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1402",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MS",
            "license": "187291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.