Individual provider Active NPI

Joshua David Moore, MA, APC

  • Professional Counselor
  • Carrollton, GA
National Provider Identifier
1891495826
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC008423 Issued in GA
Practice address
2717 N Highway 27
Carrollton, GA 30117-9349
Phone
(470) 244-2574
NPI assigned
Mar 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC008423 GA Primary

Addresses

Primary practice location

2717 N Highway 27
Carrollton, GA 30117-9349

Mailing address

2717 N Highway 27
Carrollton, GA 30117-9349
Phone (470) 244-2574

Other practice location 1

206 Bankhead Hwy
Carrollton, GA 30117-3455
Phone (470) 244-2574

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APC008423GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waves Counseling Services LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

2717 N Highway 27
Carrollton, GA 30117
Phone (470) 244-2574

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1891495826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301179349",
            "telephone_number": "470-244-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301179349",
            "telephone_number": "470-244-2574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Bankhead Hwy",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173455",
            "country_code": "US",
            "telephone_number": "470-244-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MA, APC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.