Micah Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

732 Kennesaw Ave NW Ste 250
Marietta, GA 30060-9420

Phone

(678) 587-8858

NPI assigned

May 6, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Atlanta Wellness Collective, LLC

  • Mental Health Counselor
  • Acworth, GA
  • NPI 1568146397
  NPD (past)
• Parenting Plus, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, GA
  • NPI 1801512181
  NPD (past)

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1851148993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 KENNESAW AVE NW STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609420",
            "telephone_number": "678-587-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 KENNESAW AVE NW STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609420",
            "telephone_number": "678-587-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3459 Acworth Due West Rd NW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301015826",
            "country_code": "US",
            "telephone_number": "678-587-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Moore, M.D.
• Kelsey Elizabeth Moore, APRN
• Kevin Perry Moore, LMSW
• Kimberly Lynne Moore, MS, OTRL
• Melora L Moore, LCSW
• Raquel Moore, MSW, LCSW
• Ryan Moore, D.C.
• Sara Moore
• Taitanna Moore, NCC, APC
• Tiffany Moore

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.