Organization Active NPI

Moore Professional Counseling, LLC

  • Community/Behavioral Health Agency
  • Cartersville, GA
National Provider Identifier
1831724384
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOORE PROFESSIONAL COUNSELING, LLC
Practice address
200 Leake St Ste 106
Cartersville, GA 30120-3562
Phone
(470) 433-5048
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Courtney King Moore, MSNPI 1639543887
Title
LPC
Phone
(470) 433-5048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

200 Leake St Ste 106
Cartersville, GA 30120-3562

Mailing address

200 Leake St Ste 106
Cartersville, GA 30120-3562
Phone (470) 433-5048

National Provider Directory

National Provider Directory

Locations

650 Henderson Dr
Ste 432
Cartersville, GA 30120

200 Leake St
Ste 106
Cartersville, GA 30120
Phone (470) 433-5048

200 Leake St
Cartersville, GA 30120
Phone (706) 290-3329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1831724384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEAKE ST STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203562",
            "telephone_number": "470-433-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LEAKE ST STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203562",
            "telephone_number": "470-433-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "470-433-5048",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.