Benjamin Thomas Moore III

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

11914 Newcastle Dr
Indianapolis, IN 46235-9105

Phone

(317) 937-4320

NPI assigned

Jun 23, 2023

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

Other names 1

• Benjamin Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1891471975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 NEWCASTLE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462359105",
            "telephone_number": "317-937-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 NEWCASTLE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462359105",
            "telephone_number": "317-937-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "MOORE",
            "credential": "BE MORE CONSULTING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annette Rene Moore, C.N.P.
• Antranette Moore
• Anya Moore
• April Jewellean Moore, RBT
• Ashley Moore, RBT
• Bethany Moore, PT
• Brian Alan Moore, LCSW
• Brittani Moore, LAT ATC
• Cailin Elizabeth Moore, PA-C
• Caitlin Marie Moore

• Pastoral Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pastoral Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.