Active NPI
Terry Eileen Moore, LPC
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1841411964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3247
- Practice address
- 910 Pierremont Road
Suite 410
Shreveport, LA 71106 - Phone
- (318) 865-8616
- Fax
- (318) 865-8617
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3247 | LA | Primary |
Addresses
Primary practice location
910 Pierremont Road
Suite 410
Shreveport, LA 71106
Mailing address
915 Elmwood Street
Shreveport, LA 71104
Phone (318) 453-5774
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3247 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841411964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 ELMWOOD STREET",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71104",
"telephone_number": "318-453-5774",
"fax_number": "318-865-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 PIERREMONT ROAD",
"address_2": "SUITE 410",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71106",
"telephone_number": "318-865-8616",
"fax_number": "318-865-8617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TERRY",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
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.