Rebekah Ann Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-22134 Issued in AZ

Practice address

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709

Phone

(480) 512-3700

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1891474102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 S CHOLLA PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866218",
            "telephone_number": "480-322-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21772 S ELLSWORTH LOOP RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427709",
            "telephone_number": "480-512-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBEKAH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-22134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montelena Assisted Living and Memory Care, LLC
• Makenna Montgomery, FNP
• Montoya Pediatric Dentistry LLC Dba San Tan Pediatric Dental
• Stephen J Montoya, DDS
• Charles Gregory Moore, RPH
• Jessica Morales
• Ashley Morawski, MOT, OTR/L
• Linda Ann Morgan, SLPA
• Luke Morgan
• Elizabeth Mae Morris, RN

• Mental Health Counselor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.