Individual provider Active NPI

Amy M. Moore, LMHC

  • Mental Health Counselor
  • Royal Palm Beach, FL
National Provider Identifier
1861626459
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9869 Issued in FL
Practice address
1402 Royal Palm Beach Blvd
Suite 400B
Royal Palm Beach, FL 33411-1691
Phone
(561) 792-9242
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9869 FL Primary

Addresses

Primary practice location

1402 Royal Palm Beach Blvd
Suite 400B
Royal Palm Beach, FL 33411-1691

Mailing address

3753 Victoria Dr
West Palm Beach, FL 33406-4708
Phone (561) 281-0287

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

LicenseStateTypeSpecialty
MH9869FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ingram and Associates Counseling and Consulting, Inc. Mental Health PastSince Jan 1, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1861626459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 VICTORIA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334064708",
            "telephone_number": "561-281-0287",
            "fax_number": "561-434-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD",
            "address_2": "SUITE 400B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111691",
            "telephone_number": "561-792-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.