Active NPI
Laquisha Denise Moore, M.ED, LPCC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1831678069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 266373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 266373 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levitate | Professional | Current | Accepting new patients |
| No Days Off Recovery Group Incorporated | Addiction (Substance Use Disorder) | Past | 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.
-
- Professional Counselor
- Louisville, KY
- NPI 1851021844
-
- Recovery Care Clinic/Center
- Louisville, KY
- NPI 1518712538
Addiction (Substance Use Disorder)
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.