Individual provider Active NPI

Laquisha Denise Moore, M.ED, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1831678069
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
266373 Issued in KY
Practice address
2900 W Broadway Ste 16
Louisville, KY 40211-1294
Phone
(502) 315-9969
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 266373 KY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 266373 KY
Professional Counselor 101YP2500X

Addresses

Primary practice location

2900 W Broadway Ste 16
Louisville, KY 40211-1294

Mailing address

2900 W Broadway Ste 16
Louisville, KY 40211-1294
Phone (502) 315-9969

Other practice location 1

1939 Goldsmith Ln Ste 140
Louisville, KY 40218-3000
Phone (502) 384-1378

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
266373KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Levitate Professional CurrentSince Jun 21, 2022 Accepting new patients
No Days Off Recovery Group Incorporated Addiction (Substance Use Disorder) PastSince Apr 28, 2024 Accepting new patients

Locations

2900 W Broadway
Ste 16
Louisville, KY 40211
Phone (502) 315-9969

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1831678069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W BROADWAY STE 16",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111294",
            "telephone_number": "502-315-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W BROADWAY STE 16",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111294",
            "telephone_number": "502-315-9969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1939 Goldsmith Ln Ste 140",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402183000",
            "country_code": "US",
            "telephone_number": "502-384-1378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAQUISHA",
        "middle_name": "DENISE",
        "credential": "M.ED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "266373",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "266373",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.