Active NPI
Jana L Holmes-Moore, LPC
- Professional Counselor
- Vicksburg, MS
National Provider Identifier
1861408270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2040
- Practice address
- 108 Ruby LN
Vicksburg, MS 39183-9227 - Phone
- (601) 529-6482
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2040 | MS | Primary |
Addresses
Primary practice location
108 Ruby LN
Vicksburg, MS 39183-9227
Mailing address
108 Ruby LN
Vicksburg, MS 39183-9227
Phone (601) 529-6482
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 |
|---|---|---|---|
| 2040 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Counseling and Consultation Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vicksburg, MS
- NPI 1730642927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1861408270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 RUBY LN",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391839227",
"telephone_number": "601-529-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 RUBY LN",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391839227",
"telephone_number": "601-529-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES-MOORE",
"first_name": "JANA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.